Provider Demographics
NPI:1073893897
Name:KOHAN, COURTNEY TAYLOR
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:TAYLOR
Last Name:KOHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 KEDZIE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15204-1514
Mailing Address - Country:US
Mailing Address - Phone:412-920-0530
Mailing Address - Fax:
Practice Address - Street 1:3408 KEDZIE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15204-1514
Practice Address - Country:US
Practice Address - Phone:412-920-0530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program