# KOHLHASE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KOHLHASE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982872693
- **Legal business name:** KOHLHASE
- **Authorized official:** LUKE SLABAUGH (BROKER AGENT)
- **Authorized official phone:** (480) 832-8370

## Contact information

- **Practice address:** 6550 E MAIN STREET, MESA, AZ 85205-9041
- **Practice address phone:** (480) 832-8370
- **Practice address fax:** (480) 985-9411
- **Mailing address:** 6550 E MAIN STREET, MESA, AZ 85205-9041
- **Mailing address phone:** (480) 832-8370
- **Mailing address fax:** (480) 985-9411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | 150653 | AZ | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 02/15/2008