Individual
KATHLEEN WOHLFAHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 235-5423
Mailing address
104 HORSESHOE RD, MILLBROOK, NY 12545-6027
(845) 235-5423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345521-01
NY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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