Healthcare Provider Details

I. General information

NPI: 1679553911
Provider Name (Legal Business Name): KRISTIN L. KUHLMANN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 S WASHINGTON ST SUITE 107
AMARILLO TX
79110-2052
US

IV. Provider business mailing address

3204 CONNER DR
CANYON TX
79015-4210
US

V. Phone/Fax

Practice location:
  • Phone: 806-351-4100
  • Fax: 806-355-5775
Mailing address:
  • Phone: 806-351-4100
  • Fax: 806-355-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR40803
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP124241
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: