Individual
DR. MITCHELL KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16104 SPRAGUE ST, OMAHA, NE 68116-2895
(402) 618-9808
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8103
NE
208D00000X
General Practice Physician
Primary
35.135664
OH
Other
Enumeration date
07/09/2017
Last updated
07/21/2022
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