MEDICARE: KEVIN GREGORY HOHN OTR/L

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	225X00000X	Occupational Therapist	OT-2362	NV

General Provider Information

NPI Number	:	1316615529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN GREGORY HOHN OTR/L

Provider Business Mailing Address
First Line	:	105 CASCADE MEADOW CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89011-2544
Country	:	US
Telephone Number	:	702-934-1853
Fax Number	:

Provider Business Practice Location Address
First Line	:	8374 W CAPOVILLA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3305
Country	:	US
Telephone Number	:	702-763-6174
Fax Number	:

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

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	09/01/2021

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