Provider Demographics
NPI:1447505854
Name:KOHLS, DANIEL (CNP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:KOHLS
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636372
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:419-226-9120
Mailing Address - Fax:419-996-5410
Practice Address - Street 1:967 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2888
Practice Address - Country:US
Practice Address - Phone:419-996-5895
Practice Address - Fax:419-996-5896
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.13572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0068772Medicaid
OHH146750Medicare PIN