| Dr Kimberly Irene Kohli, PHD | |
|
1580 State Route 56, Madison Correctional Institution, London, OH 43140 | |
| (740) 852-9777 | |
| (740) 852-3666 |
| Full Name | Dr Kimberly Irene Kohli |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 13 Years |
| Location | 1580 State Route 56, London, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356738439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 7227 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairfield Healthcare Professionals Inc | 4789596362 | 145 |
| Entity Name | Fairfield Healthcare Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396368 PECOS PAC ID: 4789596362 Enrollment ID: O20031125000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Irene Kohli, PHD 6457 Reflections Dr, Ste 120, Dublin, OH 43017-2352 Ph: (614) 354-1730 | Dr Kimberly Irene Kohli, PHD 1580 State Route 56, Madison Correctional Institution, London, OH 43140 Ph: (740) 852-9777 |
Dr. Scott Deatherage, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1580 Oh-56, London, OH 43140 Phone: 740-852-2454 | |
Dr. Rebecca Stevenson Lowry, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 336 Elm St, London High School, London, OH 43140 Phone: 740-852-5705 | |
Denny Klenowski, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 336 Elm St, London, OH 43140 Phone: 740-852-5705 | |
Dr. Richard Shellenberger Ii, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1851 State Route 56, Madison Correctional Institution, London, OH 43140 Phone: 740-852-9777 | |
Dr. Scott Lyon Quinby, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1851 State Route 56, Madison Correctional Institution, London, OH 43140 Phone: 740-852-9777 Fax: 740-852-3666 |