Individual
LONNIE W KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 209, GOODYEAR, AZ 85395-2624
(623) 512-4320
(623) 512-4321
Mailing address
9250 N 3RD ST, SUITE 4010, PHOENIX, AZ 85020-2437
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122816
—
AZ
Enumeration date
06/25/2006
Last updated
01/20/2011
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