Kohl, Thomas D

Kohl, Thomas D is an individual health care provider with primary practice located at 1701 Cornwall Rd Ste 201, Lebanon PA 17042-7480. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kohl, Thomas D can be contacted via phone (717) 675-1750.

Contact Information

Primary practice address
1701 Cornwall Rd Ste 201 Lebanon PA 17042-7480
Fax: (717) 675-1787
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD066085L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD066085L Pennsylvania

Profile Details

NPI number 1265425706
LBN Legal business name Kohl, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 5th, 2021 - about 3 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 1265425706 NPPES
Pennsylvania MEDICAID 001967961

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