Individual
AMY R KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3594 SW 208TH ST, PLATTSBURG, MO 64477-9332
(317) 965-8924
Mailing address
3594 SW 208TH ST, PLATTSBURG, MO 64477-9332
(317) 965-8924
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2023049467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200543030
—
IN
Enumeration date
10/24/2006
Last updated
06/13/2024
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