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NPI Code Detail

MEDICARE: MONIQUE KOHLMAN RN

MEDICARE:   MONIQUE  KOHLMAN  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001285167VA

General Provider Information

NPI Number : 1710811898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE KOHLMAN RN
Provider Business Mailing Address
First Line : 2355 ALDEN WOODS
Second Line :
City : JONESBORO
State : GA
Zip : 30236-7225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 175 GWINNETT DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-8444
Country : US
Telephone Number : 678-209-2394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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