Individual
ELLEN KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 TALLEYRAND AVE, JACKSONVILLE, FL 32206-5473
(904) 358-4450
(904) 358-4451
Mailing address
1851 TALLEYRAND AVE, JACKSONVILLE, FL 32206-5473
(904) 358-4450
(904) 358-4451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-2193362
FL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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