Individual
MRS. KIMBERLY KAYE KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 337-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
540281
TX
363L00000X
Nurse Practitioner
Primary
AP107355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209310601
—
TX
Enumeration date
07/23/2006
Last updated
01/26/2022
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