Dr Russell Wade Kohl, MD | |
18005 Canterbury Rd, Stilwell, KS 66085-9334 | |
(405) 706-3821 | |
Not Available |
Full Name | Dr Russell Wade Kohl |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 18005 Canterbury Rd, Stilwell, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114953437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04-40467 (Kansas) | Primary |
Entity Name | St John Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Entity Name | Caney Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356406292 PECOS PAC ID: 6800887621 Enrollment ID: O20040520000984 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell Wade Kohl, MD 18005 Canterbury Rd, Stilwell, KS 66085-9334 Ph: (405) 706-3821 | Dr Russell Wade Kohl, MD 18005 Canterbury Rd, Stilwell, KS 66085-9334 Ph: (405) 706-3821 |
Dr. Bryan W Burns, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 W 160th St Ste 200, Stilwell, KS 66085 Phone: 913-814-8800 Fax: 913-948-9320 | |
Vicki Sandra Kofender, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8320 Aberdeen Rd, Stilwell, KS 66085 Phone: 816-223-3528 |