Kohli LLC

NPI #1700165818 in Havre De Grace, Maryland

Provider Information

NPI Number: 1700165818
Entity Type: Organization
Organization Name: Kohli LLC
Primary Specialty: Specialist
Enumeration Date: Aug 6, 2011
Last Updated: Aug 6, 2011

Practice Location

Address: 603 REVOLUTION ST
City: Havre De Grace
State: Maryland
ZIP Code: 21078-3319
Phone: (410) 942-1015

Authorized Official

Name: MS. CRYSTAL MARIE MARTIN
Title: OFFICE MANAGER
Phone: (410) 942-1015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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