Individual
MR. KENNETH W. KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT 7117 SC
Contact information
Practice address
28 GOLD OAK DR, HILTON HEAD ISLAND, SC 29926-1473
(843) 298-5069
Mailing address
28 GOLD OAK DR, HILTON HEAD ISLAND, SC 29926-1473
(843) 298-5069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7117
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7117
MT
SC
Enumeration date
03/09/2011
Last updated
03/09/2021
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