Individual
MR. JAMIE LINDON KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
605 SE 13TH CT, CAPE CORAL, FL 33990
(239) 424-2317
Mailing address
131 NW 6TH ST, CAPE CORAL, FL 33993-2336
(785) 656-0988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4099
FL
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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