Healthcare Provider Details

I. General information

NPI: 1063390714
Provider Name (Legal Business Name): MICHELLE MARIE ROTHFORK KUHLMANN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 2ND ST S
WAITE PARK MN
56387-1662
US

IV. Provider business mailing address

262 ELM DR
FOLEY MN
56329-8728
US

V. Phone/Fax

Practice location:
  • Phone: 320-407-3556
  • Fax:
Mailing address:
  • Phone: 320-267-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number2195230
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: