Provider Demographics
NPI:1265409395
Name:KOHRS, JANE E (PHD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:E
Last Name:KOHRS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:TAUCHER
Other - Last Name:KOHRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:925 PATTON ROAD
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-1588
Mailing Address - Country:US
Mailing Address - Phone:620-792-6619
Mailing Address - Fax:620-792-2136
Practice Address - Street 1:925 S PATTON RD
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4627
Practice Address - Country:US
Practice Address - Phone:620-792-6619
Practice Address - Fax:620-792-2136
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS493103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS010916Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST LIC