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NPI Code Detail

MEDICARE: DR. ELIZABETH ROSEMARY KOHN MD

MEDICARE: DR. ELIZABETH ROSEMARY KOHN MD
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
1207Q00000XFamily Medicine Physician3790AK
2207Q00000XFamily Medicine Physician39495MN
3207Q00000XFamily Medicine PhysicianMD00034290WA

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 : 1518948165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ROSEMARY KOHN MD
Provider Business Mailing Address
First Line : PO BOX 874049
Second Line :
City : WASILLA
State : AK
Zip : 99687-4049
Country : US
Telephone Number : 907-841-8361
Fax Number :
Provider Business Practice Location Address
First Line : 4410 106TH ST SW
Second Line :
City : MUKILTEO
State : WA
Zip : 98275-4700
Country : US
Telephone Number : 425-259-0966
Fax Number : 425-493-6014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 05/10/2023

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