Provider Demographics
NPI:1083276596
Name:KOHLES, MARGRET JEAN
Entity Type:Individual
Prefix:
First Name:MARGRET
Middle Name:JEAN
Last Name:KOHLES
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 1:45-559 KEAAHALA RD APT D
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-7312
Mailing Address - Country:US
Mailing Address - Phone:507-430-2744
Mailing Address - Fax:
Practice Address - Street 1:45-559 KEAAHALA RD APT D
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-7312
Practice Address - Country:US
Practice Address - Phone:507-430-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-04
Last Update Date:2019-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist