Individual
DR. KENNETH RICHARD KOHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2417 ATRIUM DR, SUITE 150, RALEIGH, NC 27607-6673
(919) 791-2040
(919) 791-2041
Mailing address
2417 ATRIUM DR, SUITE 150, RALEIGH, NC 27607-6673
(919) 791-2040
(919) 791-2041
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
94-00546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014396
RAILROAD MEDICARE
NC
01
—
289330
MAMSI
NC
01
—
2950429
UNITED
NC
01
—
30622
PARTNERS
NC
01
—
4510878
AETNA
NC
01
—
49984
BCBS
NC
01
—
6013465
CIGNA
NC
05
—
8949984
—
NC
01
—
94963
MEDCOST
NC
Enumeration date
12/21/2005
Last updated
07/15/2010
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