| Johnna L Kohl Md Llc | |
|
4001 Dale St Ste 201 Anchorage AK 99508-5445 | |
| (907) 569-3600 | |
| (907) 569-3200 |
| Full Name | Johnna L Kohl Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 4001 Dale St Ste 201, Anchorage, Alaska |
| Authorized Official Name and Position | Johnna L Kohl (PRESIDENT) |
| Authorized Official Contact | 9075693600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnna L Kohl Md Llc 4001 Dale St Ste 201 Anchorage AK 99508-5445 Ph: (907) 569-3600 | Johnna L Kohl Md Llc 4001 Dale St Ste 201 Anchorage AK 99508-5445 Ph: (907) 569-3600 |
| NPI Number | 1831580604 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831580604 | NPI | - | NPPES |
| 1014305 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4771 (Alaska) | Primary |
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