Individual
MISS KATE KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 HOFFMAN DRIVE, 99559, BETHEL, AK 99559-0528
(907) 543-6229
(907) 543-6393
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
12-091
AK
Other
Enumeration date
02/10/2012
Last updated
08/23/2012
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