Provider Demographics
NPI:1457657918
Name:KOEHN, CATHERINE O (LM)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:O
Last Name:KOEHN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 DENNY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-2510
Mailing Address - Country:US
Mailing Address - Phone:803-223-9225
Mailing Address - Fax:
Practice Address - Street 1:926 DENNY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-2510
Practice Address - Country:US
Practice Address - Phone:803-223-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMW-0045176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife