MRS. Becky Lynn Jaracz Kohl, MS, PA-C
NPI #1811018468 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1811018468
- Entity Type
- Individual
- Name
- MRS. Becky Lynn Jaracz Kohl, MS, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- MS, PA-C
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 611 E SHERMAN AVE
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1960
- Phone
- (920) 568-5330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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