Individual
REBECCA M KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-3856
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 587-3856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5722354-1206
UT
363AM0700X
Medical Physician Assistant
5722354-1206
UT
363AS0400X
Surgical Physician Assistant
5722354-1206
UT
Other
Enumeration date
10/05/2011
Last updated
11/03/2021
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