Individual
DON KOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 FORT UNION BLVD STE 100, SALT LAKE CITY, UT 84121-6878
(801) 942-3311
(801) 942-5955
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4505
AZ
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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