Organization
POMELO KS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLE VON KOHORN MD PHD (OWNER & PRESIDENT)
(203) 535-9982
Entity
Organization
Contact information
Practice address
12022 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2647
(914) 919-9200
Mailing address
4701 SANGAMORE RD STE N100, BETHESDA, MD 20816-2558
(914) 919-9200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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