MEDICARE: MS. KRISTIN L. KUHLMANN FNP

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	R40803	NM
2	363L00000X	Nurse Practitioner	AP124241	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679553911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTIN L. KUHLMANN FNP

Provider Business Mailing Address
First Line	:	3204 CONNER DR
Second Line	:
City	:	CANYON
State	:	TX
Zip	:	79015-4210
Country	:	US
Telephone Number	:	806-351-4100
Fax Number	:	806-355-5775

Provider Business Practice Location Address
First Line	:	4400 S WASHINGTON ST
Second Line	:	SUITE 107
City	:	AMARILLO
State	:	TX
Zip	:	79110-2052
Country	:	US
Telephone Number	:	806-351-4100
Fax Number	:	806-355-5775

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/08/2014

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