Healthcare Provider Details

I. General information

NPI: 1558089029
Provider Name (Legal Business Name): DAVID KOHN CRNP-PMH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 2ND AVE STE 404B
SILVER SPRING MD
20910-3374
US

IV. Provider business mailing address

10400 SHAKER DR UNIT 115
SIMPSONVILLE MD
21150-7505
US

V. Phone/Fax

Practice location:
  • Phone: 410-498-8050
  • Fax: 410-498-5710
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR230341
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR230341
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: