NPI 1376798173

Jenny Kohler

Practitioner Dental Assistant Stillwater, MN

Practice location

Address: 1407 6th St S, Stillwater, MN 55082-5707
Phone: (651) 428-4477

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence A12760 (MN)

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Registry record

NPI: 1376798173
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2008
Record last updated: 20 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.