Provider Demographics
NPI:1679553911
Name:KUHLMANN, KRISTIN L (FNP)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:L
Last Name:KUHLMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 CONNER DR
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-4210
Mailing Address - Country:US
Mailing Address - Phone:806-351-4100
Mailing Address - Fax:806-355-5775
Practice Address - Street 1:4400 S WASHINGTON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-2052
Practice Address - Country:US
Practice Address - Phone:806-351-4100
Practice Address - Fax:806-355-5775
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR40803363LF0000X
TXAP124241363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX333403901Medicaid
NMP4838Medicaid
NMP4838Medicaid
TX333403901Medicaid