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NPI Code Detail

MEDICARE: HOWARD D KOHN MD

MEDICARE: HOWARD D 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
1207R00000XInternal Medicine PhysicianR6H79MO

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 : 1053496745
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD D KOHN MD
Provider Business Mailing Address
First Line : 3844 S LINDBERGH BLVD STE 120
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63127-1369
Country : US
Telephone Number : 314-525-0490
Fax Number :
Provider Business Practice Location Address
First Line : 3844 S LINDBERGH BLVD STE 120
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63127-1369
Country : US
Telephone Number : 314-525-0490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 03/19/2021

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Directions to “ HOWARD D KOHN MD” Practice Location

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