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Contact Information

SHANE K KOHL, MD
8303 DODGE ST
OMAHA, NE68114-4108
 Phone: 402-354-4540
 Fax: 402-354-4535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SHANE K KOHL · (Male)

NPI Number 1013105899
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2007
Last updated 12/17/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 24106
  • WA License # MD00048195
  • IA Medicaid 1013105899
  • NE Medicaid 47037660422
  • NE Other 24106 MEDICAL LICENSE
  • WA Other MD00048195 MEDICAL LICENSE
Hospital affiliation(s)
  • FREMONT AREA MEDICAL CENTER - (Acute Care)
    450 EAST 23RD ST
    FREMONT, NE 68025
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
  • THE NEBRASKA METHODIST HOSPITAL - (Acute Care)
    8303 DODGE ST
    OMAHA, NE 68114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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