Individual
DR. JERRY BEBE COHLMIA
Active
Individual
DR. JERRY BEBE COHLMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-14691
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019479
BLUE CROSS BLUE SHIELD
KS
05
—
100163230A
—
KS
05
—
100194340A
—
OK
01
—
390003305
RAILROAD MEDICARE
—
01
—
619820
FIRSTGUARD
—
Enumeration date
05/12/2006
Last updated
03/29/2011
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