Individual provider · Type 1 NPI
Jared Yadon Kohlbacher, DPM
Foot Surgery Podiatrist · Presque Isle, ME
NPI number
1386925055
Active
Practice location
140 Academy St Ste 10
Presque Isle, ME 04769-3102
Mailing address
91 Moose Ridge Rd
Mapleton, ME 04757-4156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot Surgery Podiatrist Primary | 213ES0131X | POD1089 (ME) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1386925055
Jared Yadon Kohlbacher, DPM's National Provider Identifier is 1386925055, issued on Sep 7, 2011. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Presque Isle, ME. The record was last updated on Jul 21, 2022.