Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 22250 | WI |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 22250 | WI |
NPI | 1033108873 |
---|---|
Provider Name | Dr. Harvey Stephen Kohn |
First Address | Greenfield, WI 53221-2628 |
Second Address | Greenfield, WI 53221-2628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 13/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30253700 | (05) | WI |
B54255 | (02) |