Individual
KOHL KIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
360 E 10TH AVE STE 308, EUGENE, OR 97401-3687
(833) 646-9633
Mailing address
475 RIVERVIEW BLVD, SPRINGFIELD, OR 97477-3869
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10056381
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10357449-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70097585
WA
Other
Enumeration date
01/22/2026
Last updated
06/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up