Individual
GILLIAN KOHLHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
712 SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 275-1766
(620) 275-4729
Mailing address
712 SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 275-1766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44694
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160542
BC/BS PROVIDER NUMBER
KS
Enumeration date
09/19/2005
Last updated
12/28/2012
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