Individual
CAROLANN ROBERTA KOHTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1107 MISSISSIPPI AVE APT 305, SAINT LOUIS, MO 63104-2461
(309) 338-4510
Mailing address
1107 MISSISSIPPI AVE APT 305, SAINT LOUIS, MO 63104-2461
(309) 338-4510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015026975
MO
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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