Russell Shaun Kohler

NPI #1871109066 in Seaford, New York

Provider Information

NPI Number
1871109066
Entity Type
Individual
Name
Russell Shaun Kohler
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Sep 22, 2020
Last Updated
Sep 22, 2020

Practice Location

Address
3814 CLARK ST
ZIP Code
11783-2101
Phone
(516) 322-4085

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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