MEDICARE: SUSAN MARIE KOHN CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	R120636-6	MN

General Provider Information

NPI Number	:	1255683280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MARIE KOHN CRNA

Provider Business Mailing Address
First Line	:	16501 TEMPLE DR N
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-3435
Country	:	US
Telephone Number	:	952-465-6027
Fax Number	:

Provider Business Practice Location Address
First Line	:	16501 TEMPLE DR N
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-3435
Country	:	US
Telephone Number	:	952-465-6027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2012
Last Update Date	:	10/15/2012

Similar Medicare Providers

1659147262 — RACHEL LITCHY LICSW
Practice Location Address:

5125 COUNTY ROAD 101 STE 300
MINNETONKA, MN
55345-4157

Practice Phone: 952-932-7277
Practice Fax: 952-932-9827

1619553559 — NICHOLE MARIE BRUA LPCC
Practice Location Address:

5125 COUNTY ROAD 101 STE 300
MINNETONKA, MN
55345-4157

Practice Phone: 952-932-7277
Practice Fax: 952-932-9827

1396472403 — RAESSA WINKELS LPCC
Practice Location Address:

5125 COUNTY RD 101 , SUITE 300
MINNETONKA, MN
55345

Practice Phone: 952-932-7277
Practice Fax: 952-932-9827

1801305578 — SCHNEIDER PSYCHOLOGICAL & BEHAVIORAL SERVICE
Practice Location Address:

14525 HIGHWAY 7 STE 355
MINNETONKA, MN
55345-3734

Practice Phone: 651-356-2756
Practice Fax: 612-712-9214

1326998626 — TAILA WARD LICSW
Practice Location Address:

5125 COUNTY ROAD 101 STE 300
MINNETONKA, MN
55345-4157

Practice Phone: 952-932-7277
Practice Fax: 952-932-9827

1861494791 — DR. IAN ANTHONY PARK DDS
Practice Location Address:

17705 HUTCHINS DR , SUITE 209
MINNETONKA, MN
55345-4145

Practice Phone: 925-474-8114
Practice Fax: 952-474-5195

Directions to “ SUSAN MARIE KOHN CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.