Individual
MS. SHAUNA R KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CRNA
Contact information
Practice address
111 S 5TH STREET, DOUGLAS, WY 82633
(307) 358-2122
Mailing address
PO BOX 1780, DOUGLAS, WY 82633-1780
(307) 358-5590
(307) 358-5590
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312025
BCBS
WY
01
—
P00066514
RAILROAD MC
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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