Provider Demographics
NPI:1548372600
Name:KOHN, SAMUEL MAURICE (MD)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:MAURICE
Last Name:KOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1700
Mailing Address - Country:US
Mailing Address - Phone:828-258-0969
Mailing Address - Fax:828-258-8403
Practice Address - Street 1:7 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 100-A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1700
Practice Address - Country:US
Practice Address - Phone:828-258-0969
Practice Address - Fax:828-258-8403
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML20008679208000000X
NC2009-00462208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics