Healthcare Provider Details

I. General information

NPI: 1790615664
Provider Name (Legal Business Name): KATHRYN KOHLER DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 CHAUTAUQUA BLVD
VALLEY CITY ND
58072-3145
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 701-845-6000
  • Fax: 701-845-6150
Mailing address:
  • Phone: 605-328-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number204990
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: