Individual
MELINDA ANN KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4963
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704294500
MI
367500000X
Certified Registered Nurse Anesthetist
R1733266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704294500
MICHIGAN
MI
Enumeration date
02/26/2013
Last updated
09/16/2013
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