Provider Demographics
NPI:1821351040
Name:FRANK D. KOHN, M.A., P.A.
Entity Type:Organization
Organization Name:FRANK D. KOHN, M.A., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:239-939-3911
Mailing Address - Street 1:12734 KENWOOD LN STE 17
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5639
Mailing Address - Country:US
Mailing Address - Phone:239-939-3911
Mailing Address - Fax:239-939-3911
Practice Address - Street 1:12734 KENWOOD LN STE 17
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5639
Practice Address - Country:US
Practice Address - Phone:239-939-3911
Practice Address - Fax:239-939-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1670101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty