Provider Demographics
NPI:1922772060
Name:ADRIAN KOCHNO LLC
Entity Type:Organization
Organization Name:ADRIAN KOCHNO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHNO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-755-8819
Mailing Address - Street 1:3825 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-3507
Mailing Address - Country:US
Mailing Address - Phone:941-755-8819
Mailing Address - Fax:941-755-8875
Practice Address - Street 1:3825 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-3507
Practice Address - Country:US
Practice Address - Phone:941-755-8819
Practice Address - Fax:941-755-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty