Individual
DR. ELIZABETH ROSEMARY KOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 259-0966
(425) 493-6014
Mailing address
PO BOX 874049, WASILLA, AK 99687-4049
(907) 841-8361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3790
AK
207Q00000X
Family Medicine Physician
Primary
39495
MN
207Q00000X
Family Medicine Physician
MD00034290
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0496
—
AK
Enumeration date
11/10/2005
Last updated
05/10/2023
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