Dr Kevin Thomas Cohen, MD | |
Bldg 50, Farenholt Avenue, Agana Heights, GU 96910 | |
(671) 344-9340 | |
Not Available |
Full Name | Dr Kevin Thomas Cohen |
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Gender | Male |
Speciality | Anesthesiology |
Location | Bldg 50, Agana Heights, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649518176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101256703 (Virginia) | Secondary |
207L00000X | Anesthesiology | 0101256703 (Virginia) | Primary |
207L00000X | Anesthesiology | M-2456 (Guam) | Secondary |
Entity Name | Guam Healthcare Development Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
Mailing Address | Practice Location Address |
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Dr Kevin Thomas Cohen, MD Psc 455 Box 208, Fpo, AP 96540-0003 Ph: () - | Dr Kevin Thomas Cohen, MD Bldg 50, Farenholt Avenue, Agana Heights, GU 96910 Ph: (671) 344-9340 |
Eric Victor Knight, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: Farenholt Ave, Bldg 50, Agana Heights, GU 96910 Phone: 671-344-9340 | |
Ethan Gregory Guffey, Anesthesiology Medicare: Medicare Enrolled Practice Location: Us Naval Hospital Guam, Bldg 50, Farenholt Avenue, Agana Heights, GU 96910 Phone: 671-344-9340 |