Provider Demographics
NPI:1871080416
Name:KOCHNO, ADRIAN TARAS (DO)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:TARAS
Last Name:KOCHNO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3825 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-3507
Mailing Address - Country:US
Mailing Address - Phone:941-713-5935
Mailing Address - Fax:
Practice Address - Street 1:3825 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-3507
Practice Address - Country:US
Practice Address - Phone:941-755-8819
Practice Address - Fax:941-755-8875
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO6263207R00000X
FLOS17285207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine