Organization
JOHNNA L KOHL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA L KOHL M.D. (PRESIDENT)
(907) 569-3600
Entity
Organization
Contact information
Practice address
4001 DALE ST STE 201, ANCHORAGE, AK 99508-5445
(907) 569-3600
(907) 569-3200
Mailing address
4001 DALE ST STE 201, ANCHORAGE, AK 99508-5445
(907) 569-3600
(907) 569-3200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4771
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014305
—
AK
Enumeration date
02/13/2015
Last updated
05/26/2015
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