Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60944601 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60944601 | WA |
NPI | 1174865216 |
---|---|
Provider Name | Jessica M Kohring |
First Address | Spokane Valley, WA 99216-2280 |
Second Address | Spokane, WA 99216-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174865216 | (05) | WA |