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Individual

KURT WILLIAM KOHLER

Active
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Individual

KURT WILLIAM KOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

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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