Daniel Evan Koehlinger, RN, WCC
Registered Nurse, Wound Care in Burnsville, MS. Individual provider (NPI-1).
NPI number1861691701
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1861691701
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel Evan Koehlinger
- Credential
- RN, WCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WW0000X | Registered Nurse, Wound Care | R857592 | MS | Yes |
| 163WW0000X | Registered Nurse, Wound Care | 2050710 | MS |
Practice location
246 County Road 302Burnsville, MS 38833-9248
Phone 662-427-9240
Mailing address
246 County Road 302Burnsville, MS 38833-9248
Phone 662-427-9240
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