Search › Idaho › 207Q00000X
Derek Kohlhase, MD
NPI 1407410830 · on the registry since 2019
Practice
- Address
- 10717 W State St
Star, ID 83669 - Phone
- (208) 302-6300
- Fax
- (208) 302-6355
- Clinicians at this address
- 3
Additional practice sites
- 215 E Hawaii Ave, Nampa, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho