Individual
DR. KEVIN THOMAS COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BLDG 50, FARENHOLT AVENUE, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101256703
VA
207L00000X
Anesthesiology Physician
M-2456
GU
208D00000X
General Practice Physician
0101256703
VA
Other
Enumeration date
01/17/2013
Last updated
01/15/2025
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