Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 20041804A | IN |
NPI | 1437395910 |
---|---|
Provider Name | Dr. Robin D Kohli |
First Address | Muncie, IN 47304-4810 |
Second Address | Muncie, IN 47304-4810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 11/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200888020 | (05) | IN |