Kohutek, Kimberly May

Kohutek, Kimberly May is an individual health care provider with primary practice located at 3705 Medical Pkwy Ste 200, Austin TX 78705-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kohutek, Kimberly May can be contacted via phone (512) 324-2720.

Contact Information

Primary practice address
3705 Medical Pkwy Ste 200 Austin TX 78705-1019
Phone: (512) 324-2720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP128738 Texas

Profile Details

NPI number 1922472513
LBN Legal business name Kohutek, Kimberly May
Credentials APRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2015
Last updated Nov 4th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922472513 NPPES
Texas MEDICAID 365908802
Texas MEDICAID 365908801

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