Individual
KIMBERLY A KOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
539 WESTLAWN LN, ALTOONA, PA 16601-7724
(814) 327-0269
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP012248
PA
Other
Enumeration date
10/16/2012
Last updated
11/14/2014
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