Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 264458 | MA |
Y | 207YP0228X | Pediatric Otolaryngology | A167736 | CA |
NPI | 1972997369 |
---|---|
Provider Name | Jocelyn Lysbet Kohn |
First Address | Palo Alto, CA 94304-1611 |
Second Address | Palo Alto, CA 94304-1611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 02/06/2020 |