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Individual

DR. MARK G KOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.,

Contact information

Practice address
3315 MAUCH CHUNK RD, COPLAY, PA 18037-2024
(610) 769-7700
(610) 769-4701
Mailing address
3315 MAUCH CHUNK RD, COPLAY, PA 18037-2024
(610) 769-7700
(610) 769-4701

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-006867-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02797200
CAPITAL BLUE CROSS
PA
01
KO 1599274
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/27/2006
Last updated
07/01/2009
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