Individual
LEAH KOECHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
136 HARRISON AVE, BOSTON, MA 02111-1817
(616) 636-7000
Mailing address
136 HARRISON AVE, BOSTON, MA 02111-1817
(616) 636-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035592
NY
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/21/2021
Last updated
04/29/2026
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