Individual
DR. RUSSELL WADE KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18005 CANTERBURY RD, STILWELL, KS 66085-9334
(405) 706-3821
Mailing address
18005 CANTERBURY RD, STILWELL, KS 66085-9334
(405) 706-3821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-40467
KS
Other
Enumeration date
06/26/2006
Last updated
02/13/2024
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