SearchNorth Carolina225100000X

Jerry Kohout

NPI 1992474894 · on the registry since 2021

Practice

Address
2024 Olde Regent Way Ste 130
Leland, NC 28451
Phone
(910) 302-3330
Fax
(910) 213-3575
Clinicians at this address
5

Additional practice sites

  • 290 E Pomfret St, Carlisle, PA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
PA, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-19

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 North Carolina