MEDICARE: KIMMERLE CHRISHINA COHEN M.D.

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	208600000X	Surgery Physician	LL 29019	SC
2	208600000X	Surgery Physician	ME1133344	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902921067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMMERLE CHRISHINA COHEN M.D.

Provider Business Mailing Address
First Line	:	1411 N FLAGLER DR STE 4900
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3410
Country	:	US
Telephone Number	:	561-835-3396
Fax Number	:	561-804-4334

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR STE 4900
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3410
Country	:	US
Telephone Number	:	561-835-3396
Fax Number	:	561-804-4334

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/21/2022

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Directions to “ KIMMERLE CHRISHINA COHEN M.D.” Practice Location

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