AMANDA KOHL P.A.C.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1114536844- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.C.
- Status
- Active
Contact & Location
- Address
- 2428 EAST 117TH ST, BURNSVILLE, MN, 55337
- Phone
- (612) 444-3000
- Fax
- (612) 444-9000
Specialties & Taxonomies
Unknown
Primary License: MN #13622
Physician Assistant, Medical
License: MN #13662