Individual
KURT WILLIAM KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-608
ID
363AS0400X
Surgical Physician Assistant
Primary
PA10004953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16677741
MEDICARE PTAN
ID
01
—
G8871057
MEDICARE PTAN
WA
01
—
G8878128
MEDICARE PTAN
WA
Enumeration date
02/13/2006
Last updated
04/12/2024
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