Individual
BRENDA KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 RIO VISTA, EVANSVILLE, WY 82636-1307
(307) 797-1307
(307) 232-0411
Mailing address
PO BOX 1371, EVANSVILLE, WY 82636-1371
(307) 797-1307
(307) 232-0411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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