Koehn, Kimberly Kaye

Koehn, Kimberly Kaye is an individual health care provider with primary practice located at 600 N Park St , Brenham TX 77833-2610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koehn, Kimberly Kaye can be contacted via phone (979) 337-5800.

Contact Information

Primary practice address
600 N Park St Brenham TX 77833-2610
Phone: (979) 337-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 540281 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP107355 Texas

Profile Details

NPI number 1730100686
LBN Legal business name Koehn, Kimberly Kaye
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jan 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730100686 NPPES
Texas MEDICAID 209310601

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