Keith Kohorst

Primary specialty

OptometristTaxonomy code 152W00000X

License

253 Issued in NV

Legal business name

KEITH KOHORST

Practice address

1141 S Highway 160 Ste 8
Pahrump, NV 89048-4713

Phone

(775) 727-7100

Fax

(775) 727-4068

NPI assigned

Dec 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith A Kohorst, O.D.NPI 1568531572

Title

Doctor

Phone

(775) 727-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Andrew Kohorst, O.D.

  • Optometrist
  • Pahrump, NV
  • NPI 1568531572
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1255846192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 S HIGHWAY 160 STE 8",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484713",
            "telephone_number": "775-727-7100",
            "fax_number": "775-727-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S HIGHWAY 160 STE 8",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484713",
            "telephone_number": "775-727-7100",
            "fax_number": "775-727-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH KOHORST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "KOHORST",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "775-727-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002509100",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Renee Keaton-Carter
• Charles Keil
• Cheryl Keinz
• Keirn Family Health and Pediatrics LLC
• Amanda Rose Keirn, APRN
• Hannah Kellett
• Darris Kelly
• Kyle J Kelly, APRN
• Crystal Kennedy, RN
• Amanda Kessel

• Optometrist in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.