Individual
TALON KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
395 W COUGAR BLVD STE 503, PROVO, UT 84604-3323
(801) 374-9100
Mailing address
395 W COUGAR BLVD STE 503, PROVO, UT 84604-3323
(801) 374-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12455920-1206
UT
363AM0700X
Medical Physician Assistant
12455920-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2021
Last updated
10/14/2024
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