NPI 1033921762

James Thomas Koller

Practitioner Student in an Organized Health Care Education/Training Program Saint Joseph, MO

Practice location

Address: 5325 Faraon St, Saint Joseph, MO 64506-3488
Phone: (816) 271-6000

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033921762
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2025
Record last updated: 21 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.