Individual
CHRISTIAN KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-7119
(215) 662-7200
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-7119
(215) 662-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD041240L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015296550003
—
PA
Enumeration date
07/04/2006
Last updated
09/02/2015
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