Kristopher Ryan Kohout
Physician Assistant in Athens, TX. Individual provider (NPI-1).
NPI number1164032355
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1164032355
- Entity type
- Individual (NPI-1)
- Name
- Kristopher Ryan Kohout
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA17918 | TX | Yes |
Practice location
1115 E Tyler StAthens, TX 75751-2145
Phone 903-292-5015 · Fax 903-292-5021
Mailing address
Po Box 95559Grapevine, TX 76099-9707
Phone 405-724-0574 · Fax 405-849-4105
Other practice locations
110 S Main St
Boiling Springs, NC 28017-9797
Boiling Springs, NC 28017-9797
Phone 704-406-4000
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