Individual
LINDSEY HEIM KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
(757) 510-9157
Mailing address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(513) 850-1773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007785
VA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
03/07/2022
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