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Individual
DR. JOHN ELWOOD KOHLER
Active
Individual
DR. JOHN ELWOOD KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5419TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060014461
MEDICAL EYE SERVICES
CA
01
—
6194374461
VSP
CA
01
—
CA5419
EYE MED
CA
Enumeration date
10/06/2006
Last updated
12/23/2008
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