Healthcare Provider Details

I. General information

NPI: 1700034642
Provider Name (Legal Business Name): GRETCHEN LEE KUHLMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRETCHEN LEE CREEGER NP

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 11/03/2023
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5308 HARROUN RD STE 160
SYLVANIA OH
43560-2174
US

IV. Provider business mailing address

333 N SUMMIT ST FL 7
TOLEDO OH
43604-1531
US

V. Phone/Fax

Practice location:
  • Phone: 567-585-0840
  • Fax: 567-585-0841
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.10154
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: