# KRISTIN M KOETTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821053075
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3003247 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3247P | KY | — |
| 363L00000X | Nurse Practitioner | 71001123A | IN | — |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 11/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000541708 | ANTHEM | KY |
| 01 | — | 1202794 | CHA | KY |
| 01 | — | KY950P | SIHO | KY |
| 01 | — | P00293222 | MEDICARE RAILROAD - KY | KY |