Individual
MR. GREG KOHLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1210 PINEY GROVE RD, KERNERSVILLE, NC 27284-7217
(336) 655-6549
Mailing address
1210 PINEY GROVE RD, KERNERSVILLE, NC 27284-7217
(336) 655-6549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75154
NC
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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