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General NPI Number Information
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NPI Number | 1013873405
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Entity Type | Individual
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Provider Name | PRESTON KOHLS
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Gender | Male
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 212 MAIN ST
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City | FLORENCE
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State | KY
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Zip | 41042-2269
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Country | US
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Telephone | 859-549-7288
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Fax |
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Provider Business Mailing Address
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Address Line | 2164 KNOXVILLE GARDNERSVILLE RD
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City | WILLIAMSTOWN
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State | KY
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Zip | 41097-9104
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Country | US
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Telephone | 859-638-8810
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008196
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License Number State | KY
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