Provider Demographics
NPI:1467723619
Name:KOHL MEDICAL CONSULTING, LLC
Entity Type:Organization
Organization Name:KOHL MEDICAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-496-8966
Mailing Address - Street 1:116 ALYSON DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3664
Mailing Address - Country:US
Mailing Address - Phone:412-496-8966
Mailing Address - Fax:
Practice Address - Street 1:116 ALYSON DR
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3664
Practice Address - Country:US
Practice Address - Phone:412-496-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061194L2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty