Provider Demographics
NPI:1912902362
Name:HOHL, KEVIN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EDWARD
Last Name:HOHL
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:PO BOX 20
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-0020
Mailing Address - Country:US
Mailing Address - Phone:301-371-9000
Mailing Address - Fax:301-371-8905
Practice Address - Street 1:300 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:MD
Practice Address - Zip Code:21769-8043
Practice Address - Country:US
Practice Address - Phone:301-371-9000
Practice Address - Fax:301-371-8905
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4266676OtherAETNA #
MD0100648OtherUNITED HEALTCARE #
MD521189978OtherCIGNA #
MD52676601OtherBCBS MD #
MD606251200Medicaid
MD814437OtherMAMSI LIFE AND HEALTH #
MDH9310004OtherBCBS NCA #
MDH9310004OtherBCBS NCA #
MDH569HD43Medicare ID - Type UnspecifiedMEDICARE #
MD080074391Medicare PIN