Individual
KOETE IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 WASHINGTON WOODS RD, SOUTHAVEN, MS 38672-1038
(901) 406-2806
Mailing address
3821 WASHINGTON WOODS RD, SOUTHAVEN, MS 38672-1038
(901) 406-2806
(901) 406-2806
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
800438931
MS
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
About Stedi
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