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Individual

DR. JOHN AARON KOHLER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 577-4749
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6379

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00165
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
2014-00165
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497045413
NC
01
19QDF
BCBS NC
NC
01
NCX9620322
MEDICARE
NC
Enumeration date
04/11/2011
Last updated
01/17/2024
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