Koehlmoos, Kristin Eve
Koehlmoos, Kristin Eve is an individual health care provider with primary practice located at 16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koehlmoos, Kristin Eve can be contacted via phone (239) 343-6050.Contact Information
Primary practice address
16230 Summerlin Rd Ste 215
Fort Myers FL 33908-5769
Phone: (239) 343-6050
Fax: (239) 343-6136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical | 364SM0705X | APRN9267744 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9267744 | Florida |
Profile Details
| NPI number | 1467621193 |
|---|---|
| LBN Legal business name | Koehlmoos, Kristin Eve |
| Credentials | MS, APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Mar 31st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467621193 | NPPES |
| Florida | MEDICAID | 009295900 |
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