Individual ProviderKaren S KoehnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1919 N Amidon Ave, Ste. 130, Wichita, KS 67203-2117(316) 660-7675(316) 660-7600PECOS EnrollmentBased on the most recent information from CMS, provider Karen S Koehn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477887362Provider TypeIndividualFull NameKoehn, Karen SCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date9/24/2009Last Updated9/24/2009Contact InformationPractice LocationPractice Address1919 N Amidon Ave, Ste. 130, Wichita, KS 67203-2117Phone(316) 660-7675Fax(316) 660-7510Mailing LocationMailing Address635 N Main St, Wichita, KS 67203-3602Phone(316) 660-7600Fax(316) 660-7510Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense139425Kansas