Provider Demographics
NPI:1922217306
Name:KNEBL KOHL, GISELA EDITH (MD)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:EDITH
Last Name:KNEBL KOHL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1112 OAKENCROFT CT
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-8727
Mailing Address - Country:US
Mailing Address - Phone:954-558-3608
Mailing Address - Fax:
Practice Address - Street 1:1255 CREEKSHIRE WAY STE 270
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3061
Practice Address - Country:US
Practice Address - Phone:336-701-3111
Practice Address - Fax:888-757-4153
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-01-26
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Provider Licenses
StateLicense IDTaxonomies
NC2009-008312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry