DEREK KOHLHASE, MD

Family Medicine

Active Individual
NPI: 1407410830

Practice Address

10717 W STATE ST
Star, ID 83669

Phone: (208) 302-6300

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes M-15600 (ID)

Frequently Asked Questions

NPI 1407410830 is the National Provider Identifier for DEREK KOHLHASE, MD, a Family Medicine provider located in Star, ID. This NPI was enumerated on May 1, 2019.
DEREK KOHLHASE, MD practices at 10717 W STATE ST, Star, ID 83669.

Quick Facts

NPI
1407410830
Type
Individual
Enumerated
May 1, 2019
Last Updated
Jul 21, 2022

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