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NPI Code Detail

MEDICARE: RONALD J KOHN FAMILY MEDICINE PROFESSIONAL CORP

MEDICARE: RONALD J KOHN FAMILY MEDICINE PROFESSIONAL CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1033321617
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD J KOHN FAMILY MEDICINE PROFESSIONAL CORP
Provider Business Mailing Address
First Line : 4830 W LONE MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2239
Country : US
Telephone Number : 702-645-8555
Fax Number : 702-645-2828
Provider Business Practice Location Address
First Line : 4830 W LONE MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2239
Country : US
Telephone Number : 702-645-8555
Fax Number : 702-645-2828
Authorized Official
Title or Position : PRESIDENT
Name : RONALD J KOHN
Credential : MD
Telephone Number : 702-645-8555
Provider Enumeration Date : 05/04/2007
Last Update Date : 08/22/2020

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Directions to “RONALD J KOHN FAMILY MEDICINE PROFESSIONAL CORP ” Practice Location

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