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Individual

HEATH CHRISTIAN KOHLMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1122
Mailing address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1122

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008712A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71008712A
LICENSE NUMBER
IN
Enumeration date
01/24/2019
Last updated
01/24/2019
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