Individual
BETH KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1194 GRANADA RD NW, DELLROY, OH 44620-9727
(330) 705-1605
Mailing address
8406 MIDDLE RUN RD NE, DOVER, OH 44622-9679
(330) 343-6138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092515-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PN092515-M-IV
—
OH
Enumeration date
01/08/2019
Last updated
01/08/2019
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