| Russell Kohl , Md, Pllc | |
|
803 N Foreman St Vinita OK 74301-1412 | |
| (918) 256-2257 | |
| (918) 256-2316 |
| Full Name | Russell Kohl , Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 803 N Foreman St, Vinita, Oklahoma |
| Authorized Official Name and Position | Russell Wade Kohl (MANAGING MEMBER) |
| Authorized Official Contact | 9182652257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Kohl , Md, Pllc 803 N Foreman St Vinita OK 74301-1412 Ph: (918) 256-2257 | Russell Kohl , Md, Pllc 803 N Foreman St Vinita OK 74301-1412 Ph: (918) 256-2257 |
| NPI Number | 1538238761 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 10/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538238761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22918 (Oklahoma) | Primary |
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