Provider Demographics
NPI:1649242363
Name:KOHN, ALAN NORMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:NORMAN
Last Name:KOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2505 METROCENTRE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3114
Mailing Address - Country:US
Mailing Address - Phone:561-478-2003
Mailing Address - Fax:561-478-2080
Practice Address - Street 1:2505 METROCENTRE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3114
Practice Address - Country:US
Practice Address - Phone:561-478-2003
Practice Address - Fax:561-478-2080
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0032818207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037200500Medicaid
SC0735490001Medicare NSC
FL037200500Medicaid
FL50855Medicare ID - Type Unspecified