Kohagen, Kenneth Richard

Kohagen, Kenneth Richard is an individual health care provider with primary practice located at 2417 Atrium Dr Suite 150, Raleigh NC 27607-6673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kohagen, Kenneth Richard can be contacted via phone (919) 791-2040.

Contact Information

Primary practice address
2417 Atrium Dr Suite 150 Raleigh NC 27607-6673
Phone: (919) 791-2040
Fax: (919) 791-2041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 94-00546 North Carolina

Profile Details

NPI number 1972589935
LBN Legal business name Kohagen, Kenneth Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972589935 NPPES
North Carolina Other 94963 MEDCOST
North Carolina Other 100014396 MEDCOST
North Carolina Other 4510878 MEDCOST
North Carolina Other 49984 MEDCOST
North Carolina Other 6013465 MEDCOST
North Carolina Other 2950429 MEDCOST
North Carolina Other 289330 MEDCOST
North Carolina MEDICAID 8949984 MEDCOST
North Carolina Other 30622 MEDCOST

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