Individual
JOHNNA L KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4001 DALE ST, STE 210, ANCHORAGE, AK 99508
(907) 929-5888
(907) 929-5886
Mailing address
4001 DALE STREET STE 210, ANCHORAGE, AK 99508
(907) 929-5888
(907) 929-5886
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4771
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD44124
—
AK
Enumeration date
02/13/2006
Last updated
08/17/2018
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