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NPI Code Detail

MEDICARE: KIMMERLE CHRISHINA COHEN M.D.

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
1208600000XSurgery PhysicianME1133344FL

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 : 1902921067
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMMERLE CHRISHINA COHEN M.D.
Provider Business Mailing Address
First Line : 1450 CENTREPARK BLVD STE 165
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-7432
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Provider Business Practice Location Address
First Line : 11621 KEW GARDENS AVE STE 101A
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2853
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 06/01/2026

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