Provider Demographics
NPI:1902561129
Name:KOEHN, STERLING ELIZABETH
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:ELIZABETH
Last Name:KOEHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 W AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-3006
Mailing Address - Country:US
Mailing Address - Phone:719-688-0460
Mailing Address - Fax:
Practice Address - Street 1:1207 W AUSTIN ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-3006
Practice Address - Country:US
Practice Address - Phone:719-688-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator