KOHLI LLC NPI 1700165818

NPI Information

  • NPI: 1700165818
  • Provider Name: KOHLI LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: REVOLUTION MEDICAL CENTER
  • Address: 603 REVOLUTION ST
    HAVRE DE GRACE, MD
    ZIP 21078
  • Phone: (410) 942-1015

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NPI Details

KOHLI LLC is a specialist in Havre De Grace, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KOHLI LLC NPI is 1700165818. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Revolution Medical Center.

The provider's business location address is:

603 REVOLUTION ST
HAVRE DE GRACE, MD
ZIP 21078-319
Phone: (410) 942-1015
Fax: (410) 942-1016

The provider's authorized official is Crystal Marie Martin .
The authorized official title is Office Manager and has the following contact phone number (410) 942-1015.

The enumeration date for this NPI number is 8/6/2011 and was last updated on 8/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistD 50806MARYLANDNo
2174400000XSpecialistD 71586MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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