Doctor Name: | NELSON H KOHL |
NPI Number: | 1447253836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS4225 |
Business Practice Address: | 1910 Jim Redman Pkwy Plant City, FL - 335637101 |
Business Phone Number: | 8137544611 |
Business Fax Number: | 8137198731 |
Mailing Address: | 406 N Reo St, Ste 220 TAMPA |
State: | FL |
Postal Code: | 336091028 |
Phone Number: | 8136362000 |
Fax Number: | 8136362050 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS4225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |