Individual
PETER C KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-2731
(207) 873-1106
Mailing address
325A KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-2731
(207) 873-1106
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013307
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010543747
COMMERCIAL
ME
01
—
042734
BLUE SHIELD
ME
01
—
180043475
RR MEDICARD
ME
01
—
2590268
AETNA
ME
05
—
290130099
—
ME
01
—
691518002
CIGNA
ME
Enumeration date
06/28/2005
Last updated
01/28/2021
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