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Individual

DR. KENT A KOEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3170
(906) 225-4621
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-7116
(906) 225-7456

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007667
MI

Other

Enumeration date
11/28/2005
Last updated
11/01/2007
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