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Individual

TINA MARIE GUTEKUNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 41017
(859) 341-3114
(859) 578-2156
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3114
(859) 578-2156

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010634
KY
363L00000X
Nurse Practitioner
71009290A
IN
363LF0000X
Family Nurse Practitioner
COA.18966-NP
OH

Other

Enumeration date
06/07/2016
Last updated
01/11/2023
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