Individual
MR. JOHNNY CLAY KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 FLANNAGAN DR, BRISTOL, VA 24202-5842
(276) 274-4674
Mailing address
102 FLANNAGAN DR, BRISTOL, VA 24202-5842
(276) 274-4674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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