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Individual

REGINA MARIE KAHNERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
254 CLEVELAND AVE STE 101, AMHERST, OH 44001
(440) 455-3090
(440) 984-7182
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 502-3511

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10843
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3020395
OH
01
9686455
AETNA
OH
01
H567080
MEDICARE
OH
Enumeration date
09/10/2009
Last updated
08/08/2018
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