Kristopher Ryan Kohout

Physician Assistant · Athens, TX

Individual Active NPI

NPI number 1164032355

Practice location

1115 E Tyler St
Athens, TX 75751-2145
Phone
(903) 292-5015
Fax
(903) 292-5021

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NPI record

NPI
1164032355
Entity type
Individual (Type 1)
Enumeration date
August 3, 2020
Last updated
October 22, 2025
Certified
October 22, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA17918 TX

Mailing address

PO Box 95559
Grapevine, TX 76099-9707
Phone
(405) 724-0574
Fax
(405) 849-4105

Other practice locations (1)

  • 110 S Main St, Boiling Springs, NC 28017-9797 · (704) 406-4000

About Kristopher Kohout

Kristopher Ryan Kohout is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1115 E Tyler St, Athens, TX 75751-2145. The NPI number 1164032355 was assigned on August 3, 2020 and the record was last updated on October 22, 2025.

Kristopher Kohout lists a license in the registry: #PA17918 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristopher Ryan Kohout?

The NPI number is 1164032355.

What is the phone number of Kristopher Kohout?

The phone number listed for the practice location is (903) 292-5015.

Where is Kristopher Kohout located?

1115 E Tyler St, Athens, TX 75751-2145.

What is the taxonomy code for Kristopher Kohout?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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