Kent A Koehn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007667 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 225-3170

Fax

(906) 225-4621

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marquette General Hospital, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marquette, MI
  • NPI 1205903051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1417930066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498550220",
            "telephone_number": "906-225-7116",
            "fax_number": "906-225-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-3170",
            "fax_number": "906-225-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "KENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "007667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ramsey Kniskern, PH.D.
• Thomas Edward Knuff, M.D.
• Sara Sundell-Norlin Kocha, PA
• Cynthia L Kochis, PHD
• Richard Allen Kochis, LMSW
• Amy Koenig
• Cresence Koenigsknecht, CADC
• Chelsea A Koepel
• Penney Kolasa, SLP
• Whitney Kolich, PEER RECOVERY, CHW

• Clinical Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.