Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 000000000 | NV |
N | 208000000X | Pediatrician | 10452 | NV |
NPI | 1003999467 |
---|---|
Provider Name | Dr. Noah Benjamin Kohn |
First Address | Las Vegas, NV 89102 |
Second Address | Las Vegas, NV 89102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2006 |
Last Update Date | 22/10/2019 |