Individual
AMY KOHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3902 MAIN ST, KANSAS CITY, MO 64111-1917
(816) 931-5452
Mailing address
3902 MAIN ST, KANSAS CITY, MO 64111-1917
(816) 931-5452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-100293
KS
183500000X
Pharmacist
Primary
2016026658
MO
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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