Individual
NORMAN S KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9171
(316) 689-9905
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21574
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018204
BCBS
KS
01
—
100108
HPK
KS
01
—
12149467
MULTIPLAN
KS
01
—
16850
COVENTRY
KS
01
—
497
PHS
KS
Enumeration date
07/03/2006
Last updated
07/13/2007
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