MEDICARE: KATHERINE KOHLER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0032554	OH

General Provider Information

NPI Number	:	1669140679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE KOHLER APRN

Provider Business Mailing Address
First Line	:	8940 KINGSRIDGE DR STE 106
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-813-4485
Fax Number	:	937-813-4576

Provider Business Practice Location Address
First Line	:	8940 KINGSRIDGE DR STE 106
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-813-4485
Fax Number	:	937-813-4576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	06/08/2026

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Directions to “ KATHERINE KOHLER APRN” Practice Location

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