Individual
MATTHEW LEWIS KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 322-3368
Mailing address
651 SOUTH LIMESTONE STREET, SPRINGFIELD, OH 45505
(937) 324-1111
(937) 322-3368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0602048
OH
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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