Basic Information
| Provider Information | |||||||||
| NPI: | 1013278092 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POHL | ||||||||
| FirstName: | KYLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10491 LAKESIDE DR | ||||||||
| Address2: | |||||||||
| City: | PERRINTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488719648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349364385 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4000 AMBASSADOR DR | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995085909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077291900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2012 | ||||||||
| LastUpdateDate: | 07/12/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 112370 | AK | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 112370 | AK | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.