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Individual

MR. DANIEL EVAN KOEHLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, WCC

Contact information

Practice address
246 COUNTY ROAD 302, BURNSVILLE, MS 38833-9248
(662) 427-9240
Mailing address
246 COUNTY ROAD 302, BURNSVILLE, MS 38833-9248
(662) 427-9240

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
2050710
MS
163WW0000X
Wound Care Registered Nurse
Primary
R857592
MS

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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