Provider Demographics
NPI:1144492570
Name:KOHLER, ANN (AUD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:KOHLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 950116
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0116
Mailing Address - Country:US
Mailing Address - Phone:502-893-0159
Mailing Address - Fax:502-213-3884
Practice Address - Street 1:2125 STATE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4988
Practice Address - Country:US
Practice Address - Phone:812-945-3557
Practice Address - Fax:812-206-1784
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0488174400000X, 207Y00000X
KYKY-0488231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No174400000XOther Service ProvidersSpecialist
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology