Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | A134175 | IA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | A134175 | IA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | CP001752 | SD |
NPI | 1013427640 |
---|---|
Provider Name | Alexandria Lynn Kohn |
First Address | Mason City, IA 50401-2932 |
Second Address | Dakota Dunes, SD 57049-5067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2017 |
Last Update Date | 04/08/2021 |