Individual
COLLEEN ANN KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 DAVE PADDOCK WAY, FAIRPORT, NY 14450
(585) 421-2119
Mailing address
1 DAVE PADDOCK WAY, FAIRPORT, NY 14450
(585) 421-2119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
310617-1
NY
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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