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1164673547 NPI number — KRISTINA KOBBEMAN COFER ATC

NPI Number: 1164673547
Health Care Provider/Practitioner: KRISTINA KOBBEMAN COFER ATC

Information about “1164673547” NPI (KRISTINA KOBBEMAN COFER ATC) exists in 1164673547 in HTML format HTML  |  1164673547 in plain Text format TXT  |  1164673547 in PDF (Portable Document Format) PDF  |  1164673547 in an XML format XML  formats.

NPI Number : 1164673547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164673547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COFER",
    "FirstName": "KRISTINA",
    "MiddleName": "KOBBEMAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOBBEMAN",
    "OtherFirstName": "KRISTINA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ATC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7256 W PALATINE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60631-1944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-458-3070",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 N NORTH BRANCH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60642-4278",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-458-3070",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2008",
    "LastUpdateDate": "02/05/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "096.001378",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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