Provider Demographics
NPI:1467669093
Name:KOHL, RACHEL SHARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHARON
Last Name:KOHL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 THORNRIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:THORNHILL
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L4J 1C8
Mailing Address - Country:CA
Mailing Address - Phone:905-731-7117
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program