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Individual

LEAH KOHLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1205 S 2ND ST, NORFOLK, NE 68701-6323
(402) 644-2557
Mailing address
1301 E GROVE AVE UNIT A6, NORFOLK, NE 68701-6128
(402) 657-4678

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EHN100042343
BLUE CROSS BLUE SHEILD
NE
Enumeration date
12/05/2022
Last updated
12/05/2022
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