Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK KOHLHASE, MD
ActiveDEREK KOHLHASE, MD is a Family Medicine healthcare provider located in STAR, Idaho. NPI 1407410830 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · STAR, ID
Registration Details
- NPI Number
- 1407410830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2019 (7.274190933327 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
MRM-1814 (ID)M-15600 (ID)
Practice Information
- Address
-
10717 W STATE STSTAR, ID, 836696046Browse ID providers · Browse ZIP 83669
- Phone
- 2083026300
- Fax
- 2083026355
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in STAR, ID
| Name | Credential | NPI |
|---|---|---|
| DR. LINDA M HANEY | MD | 1093842031 |
| DR. THOMAS RICHARD YOUNG III | M.D. | 1609083658 |
| NATHAN R. MASON | MD | 1396953196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.