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NPI Code Detail

MEDICARE: DR. DEREK MICHAEL KOHLER DO

MEDICARE:  DR. DEREK MICHAEL KOHLER  DO
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
12084P0800XPsychiatry Physician315433NY
22084P0800XPsychiatry PhysicianOS022098PA

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 : 1881155315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK MICHAEL KOHLER DO
Provider Business Mailing Address
First Line : 2315 N SUSQUEHANNA TRL STE A
Second Line :
City : YORK
State : PA
Zip : 17404-9602
Country : US
Telephone Number : 717-755-0921
Fax Number :
Provider Business Practice Location Address
First Line : 2315 N SUSQUEHANNA TRL STE A
Second Line :
City : YORK
State : PA
Zip : 17404-9602
Country : US
Telephone Number : 717-755-0921
Fax Number : 717-751-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 11/12/2025

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