Individual
DR. CHRIS L KJOLHEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3290
(607) 547-5605
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3290
(607) 547-5605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
159772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01488531
—
NY
Enumeration date
04/28/2006
Last updated
04/22/2008
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