Organization
KEITH KOHORST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH A KOHORST O.D. (DOCTOR)
(775) 727-7100
Entity
Organization
Contact information
Practice address
1141 S HIGHWAY 160 STE 8, PAHRUMP, NV 89048-4713
(775) 727-7100
(775) 727-4068
Mailing address
1141 S HIGHWAY 160 STE 8, PAHRUMP, NV 89048-4713
(775) 727-7100
(775) 727-4068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
253
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002509100
—
NV
Enumeration date
12/13/2017
Last updated
12/13/2017
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