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NPI Code Detail

MEDICARE: DR. ROBIN D KOHLI HSPP

MEDICARE: DR. ROBIN D KOHLI HSPP
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
1103TH0100XHealth Service Psychologist20041804AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437395910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN D KOHLI HSPP
Provider Business Mailing Address
First Line : 3700 W KILGORE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-4810
Country : US
Telephone Number : 765-289-5437
Fax Number : 765-213-5094
Provider Business Practice Location Address
First Line : 3700 W KILGORE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-4810
Country : US
Telephone Number : 765-289-5437
Fax Number : 765-213-5094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2009
Last Update Date : 01/11/2011

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Directions to “ DR. ROBIN D KOHLI HSPP” Practice Location

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