Individual
DEBRA MARY KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4414 E JOAN DE ARC AVE, PHOENIX, AZ 85032-6421
(602) 266-0324
(602) 266-0324
Mailing address
4362 W LINDA LN, CHANDLER, AZ 85226-2188
(602) 266-0324
(602) 266-0324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
AZ
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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