Provider Demographics
NPI:1669558045
Name:KOHEN, JEFFREY ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALLEN
Last Name:KOHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:322 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55127-6015
Mailing Address - Country:US
Mailing Address - Phone:651-481-6939
Mailing Address - Fax:651-481-6939
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:111J
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2098
Practice Address - Fax:612-727-5640
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN26852207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA94091Medicare UPIN