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NPI Code Detail

MEDICARE: CATHERINE KOHL RN

MEDICARE:   CATHERINE  KOHL  RN
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
1163WH0200XHome Health Registered Nurse827616NV

General Provider Information

NPI Number : 1952159592
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE KOHL RN
Provider Business Mailing Address
First Line : 2644 COURGETTE WAY
Second Line :
City : HENDERSON
State : NV
Zip : 89044-0421
Country : US
Telephone Number : 702-860-4910
Fax Number :
Provider Business Practice Location Address
First Line : 250 PILOT RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3514
Country : US
Telephone Number : 702-982-3292
Fax Number : 702-982-5286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2024
Last Update Date : 05/08/2024

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