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NPI Code Detail

MEDICARE: WILLIAM KOHLER

MEDICARE: WILLIAM KOHLER
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
1363AM0700XMedical Physician Assistant003568NY

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 : 1003990946
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM KOHLER
Provider Business Mailing Address
First Line : 3 CORPORATE DR
Second Line : STE 100
City : HALFMOON
State : NY
Zip : 12065-8635
Country : US
Telephone Number : 518-348-1276
Fax Number : 518-383-8104
Provider Business Practice Location Address
First Line : 407 ALBANY SHAKER RD
Second Line :
City : LOUDONVILLE
State : NY
Zip : 12211-1900
Country : US
Telephone Number : 518-435-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/01/2019

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