Provider Demographics
NPI:1427768027
Name:KOHLES, LEAH (MS)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:KOHLES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:ROWAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:1301 E GROVE AVE UNIT A6
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-6128
Mailing Address - Country:US
Mailing Address - Phone:402-657-4678
Mailing Address - Fax:
Practice Address - Street 1:1205 S 2ND ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-6323
Practice Address - Country:US
Practice Address - Phone:402-644-2557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEEHN100042343OtherBLUE CROSS BLUE SHEILD