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Individual
RYAN KEITH KOHOUT
Active
Individual
RYAN KEITH KOHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
2018-01194
NC
208100000X
Physical Medicine & Rehabilitation Physician
2018-01194
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2018-01194
NC
Other
Enumeration date
04/09/2013
Last updated
06/03/2021
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