Derek Kohlhase, MD

NPI #1407410830 in Star, Idaho

Provider Information

NPI Number: 1407410830
Entity Type: Individual
Name: Derek Kohlhase, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 1, 2019
Last Updated: Jul 21, 2022

Practice Location

Address: 10717 W STATE ST
City: Star
State: Idaho
ZIP Code: 83669-6046
Phone: (208) 302-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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