Most Relevant Information
Provider Data
| NPI Number: | 1003802976 |
| Provider Name: | KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
480 CENTRAL AVE
PEARL HARBOR
HI
968604908
Practice Location Phone/Fax
| Phone: | 8082578708 |
| Fax: |
Provider Mailing Location
2223 KALALI ST
HONOLULU
HI
968183420
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |