Individual
LEVI RICHARD KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 N 500 W STE 207, PROVO, UT 84604-3305
(801) 375-4263
(801) 224-5337
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7888215-4405
UT
Other
Enumeration date
09/14/2016
Last updated
11/09/2018
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