Individual
KIMBERLY MAY KOHUTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
3705 MEDICAL PKWY, STE 200, AUSTIN, TX 78705-1019
(512) 324-2720
Mailing address
3705 MEDICAL PKWY, STE 200, AUSTIN, TX 78705-1019
(512) 324-2720
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP128738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365908801
—
TX
05
—
365908802
—
TX
Enumeration date
11/19/2015
Last updated
11/04/2020
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