Individual
MR. TIMOTHY LYNN KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6927 148TH AVE NE, GRAFTON, ND 58237-9215
(701) 352-3384
(701) 352-3384
Mailing address
14340 67TH ST NE, GRAFTON, ND 58237-9149
(701) 520-1103
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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