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Contact Information

AMANDA KOHL, P.A.C.
2428 EAST 117TH ST
BURNSVILLE, MN55337
 Phone: 612-444-3000
 Fax: 612-444-9000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA KOHL · (Female)

NPI # 1114536844
Status Active
Credentials P.A.C.
Entity Individual
Enumeration date 07/29/2020
Last updated 04/13/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 13622
  • MN License # 13662
Hospital affiliation(s) Not Available
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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