Provider Demographics
NPI:1215933676
Name:KOHLER, ROY N (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:N
Last Name:KOHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 500E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7500
Mailing Address - Country:US
Mailing Address - Phone:406-238-6800
Mailing Address - Fax:406-238-6814
Practice Address - Street 1:2900 12TH AVE N STE 500E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-238-6800
Practice Address - Fax:406-238-6814
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8471207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0108647Medicaid
MTE11319Medicare UPIN
MT010001719Medicare ID - Type Unspecified