Healthcare Provider Details

I. General information

NPI: 1508422452
Provider Name (Legal Business Name): DR. KOHL STRAUSS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 THOMSON DR
LYNCHBURG VA
24501-1009
US

IV. Provider business mailing address

1914 THOMSON DR
LYNCHBURG VA
24501-1009
US

V. Phone/Fax

Practice location:
  • Phone: 434-947-3925
  • Fax:
Mailing address:
  • Phone: 434-947-3925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number0101281405
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0101281405
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: