NPI Code Details Logo

NPI 1588578330

NPI 1588578330 : BARRY KOEHN NRP, CCP : WEST UNION, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588578330
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BARRY KOEHN NRP, CCP
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/29/2026
-----------------------------------------------------
    Last Update Date     |    09/29/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    402 RICKEL ST 
-----------------------------------------------------
    City                 |    WEST UNION
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    52175-1069
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    563-287-9088
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    108 EAST ST 
-----------------------------------------------------
    City                 |    WEST UNION
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    52175-1420
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    146L00000X
-----------------------------------------------------
    Taxonomy Name        |    Paramedic
-----------------------------------------------------
    License Number       |    PARA4001403
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.