Provider Demographics
NPI:1013427640
Name:KOHN, ALEXANDRIA LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LYNN
Last Name:KOHN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 1ST ST NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2932
Mailing Address - Country:US
Mailing Address - Phone:712-203-1640
Mailing Address - Fax:
Practice Address - Street 1:711 N SIOUX POINT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5067
Practice Address - Country:US
Practice Address - Phone:712-222-7960
Practice Address - Fax:472-222-7961
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001752363LF0000X
IAA134175207QA0505X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine