Individual
DR. ANDREW DAVID KOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
810 BRAYDEN PKWY APT 109, FORT MILL, SC 29708-0198
(803) 810-1609
Mailing address
11348 S LAKE RUN RD, SOUTH JORDAN, UT 84009-8706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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