Most Relevant Information
Provider Data
| NPI Number: | 1003299819 |
| Provider Name: | BRENDA KOEHN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2015 |
| Last Updated: | 06/30/2015 |
Provider Practice Location
1020 RIO VISTA
EVANSVILLE
WY
826361307
Practice Location Phone/Fax
| Phone: | 3077971307 |
| Fax: | 3072320411 |
Provider Mailing Location
PO BOX 1371
EVANSVILLE
WY
826361371
Provider Mailing Phone/Fax
| Phone: | 3077971307 |
| Fax: | 3072320411 |