Healthcare Provider Details

I. General information

NPI: 1023459476
Provider Name (Legal Business Name): KASEY KUHLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 SUNFOREST CT SUITE 105
TOLEDO OH
43623-4473
US

IV. Provider business mailing address

2200 JEFFERSON AVE 5TH FL
TOLEDO OH
43604-7101
US

V. Phone/Fax

Practice location:
  • Phone: 419-475-9341
  • Fax: 419-414-0095
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.14786
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: