Individual provider · Type 1 NPI

Ethan Alfred Kohn, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1548771850 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

718 Orange St Apt 1
New Haven, CT 06511-2529

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3980 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1548771850

Ethan Alfred Kohn, PA-C's National Provider Identifier is 1548771850, issued on Oct 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Dec 5, 2017.