# PETER C KOHLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417954066
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 013307 | ME | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 01/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010543747 | COMMERCIAL | ME |
| 01 | — | 042734 | BLUE SHIELD | ME |
| 01 | — | 180043475 | RR MEDICARD | ME |
| 01 | — | 2590268 | AETNA | ME |
| 05 | — | 290130099 | — | ME |
| 01 | — | 691518002 | CIGNA | ME |