# POMELO KS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972238624
- **Authorized official:** ISABELLE VON KOHORN MD PHD (OWNER & PRESIDENT)
- **Authorized official phone:** (203) 535-9982

## Contact information

- **Practice address:** 12022 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2647
- **Practice address phone:** (914) 919-9200
- **Mailing address:** 4701 SANGAMORE RD STE N100, BETHESDA, MD 20816-2558
- **Mailing address phone:** (914) 919-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 07/18/2022
