Healthcare Provider Details
I. General information
NPI: 1376730259
Provider Name (Legal Business Name): DARCY ALLISON KOEHN FNP-C, DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/25/2007
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2679 W MAIN ST # 300-781
LITTLETON CO
80120-1950
US
IV. Provider business mailing address
2679 W MAIN ST # 300-781
LITTLETON CO
80120-1950
US
V. Phone/Fax
- Phone: 720-669-3470
- Fax: 720-669-3480
- Phone: 720-669-3470
- Fax: 720-669-3480
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APN.0992915-NP |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 6130 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: