Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0101032252 | VA |
NPI | 1104175413 |
---|---|
Provider Name | Dr. John H Kehrl |
First Address | Bethesda, MD 20814-1866 |
Second Address | Bethesda, MD 20814-1866 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2012 |
Last Update Date | 31/08/2012 |