Organization
FUNCTIONAL HEALTH, LLC
Active
Other names
Midwest Skin Institute
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KAHRE NP-C (CO-OWNER)
(812) 491-6772
Entity
Organization
Contact information
Practice address
8601 N KENTUCKY AVE, SUITE I, EVANSVILLE, IN 47725-6371
(812) 491-6772
(812) 491-0758
Mailing address
8601 N KENTUCKY AVE, SUITE I, EVANSVILLE, IN 47725-6371
(812) 491-6772
(812) 491-0758
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
71001222A
IN
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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