Individual provider · Type 1 NPI

Jayne Alyssa Koehler, PA-C

Medical Physician Assistant · Lexington, SC

NPI number 1093967887 Active

Practice location

122 Powell Dr
Lexington, SC 29072-9203

Call (803) 957-8400 Map

Fax (803) 957-1939

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XTL1353 (SC)
Medical Physician Assistant Primary 363AM0700X1353 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1093967887

Jayne Alyssa Koehler, PA-C's National Provider Identifier is 1093967887, issued on Oct 13, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lexington, SC. The record was last updated on Nov 9, 2020.