Individual provider · Type 1 NPI

Kristopher Koelewyn, DPM

Foot & Ankle Surgery Podiatrist · San Francisco, CA

NPI number 1831661578 Active

Practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

112 Hugh St
Vallejo, CA 94591-7504

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XR10615 (NY)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5785 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1831661578

Kristopher Koelewyn, DPM's National Provider Identifier is 1831661578, issued on Dec 19, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Francisco, CA. The record was last updated on Jul 29, 2021.