Provider Demographics
NPI:1033371489
Name:POHL, CARRIE LYNN (MD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:LYNN
Last Name:POHL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4101 S. 4TH STREET TRAFFICWAY, MAIL STOP L-11G1
Mailing Address - Street 2:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048
Mailing Address - Country:US
Mailing Address - Phone:913-682-2000
Mailing Address - Fax:913-946-1561
Practice Address - Street 1:4101 S. 4TH STREET TRAFFICWAY, MAIL STOP L-11G1
Practice Address - Street 2:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:913-946-1561
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2014-04-24
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Provider Licenses
StateLicense IDTaxonomies
KS9406985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine