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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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