Individual
MADISON KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N THORPE ST, LAKIN, KS 67860
(620) 355-7550
Mailing address
2809 ELDORADO PL, GARDEN CITY, KS 67846-7320
(620) 640-6833
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KRM100010263721
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
01/23/2023
Last updated
01/23/2023
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