Search › Minnesota › 163WH0200X
Jeffrey Koons
NPI 1215479969 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1684 Edgerton St
Maplewood, MN 55117 - Phone
- (612) 414-2332
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota