Provider Demographics
NPI:1275907024
Name:KOHLS, RACHEL J (CNS)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:J
Last Name:KOHLS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:J
Other - Last Name:EICHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6500 N. MOPAC
Mailing Address - Street 2:BLDG 3, STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-458-8400
Mailing Address - Fax:512-458-8593
Practice Address - Street 1:6500 N. MOPAC
Practice Address - Street 2:BLDG 3, STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-458-8400
Practice Address - Fax:512-458-8593
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128608364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist