Individual
GREGORY MICHAEL KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
6036 N 19TH AVE STE 505, PHOENIX, AZ 85015-2143
(602) 249-0839
(602) 249-8566
Mailing address
5431 W MICHIGAN AVE, GLENDALE, AZ 85308-1351
(623) 824-4584
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8009
AZ
Other
Enumeration date
08/05/2015
Last updated
11/01/2023
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