Provider Demographics
NPI:1164107488
Name:KOHLMAYR, CHIARA (PA-S)
Entity Type:Individual
Prefix:
First Name:CHIARA
Middle Name:
Last Name:KOHLMAYR
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5257 UNIVERSITY AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-1485
Mailing Address - Country:US
Mailing Address - Phone:612-205-7041
Mailing Address - Fax:
Practice Address - Street 1:5257 UNIVERSITY AVE APT 405
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-1485
Practice Address - Country:US
Practice Address - Phone:612-205-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program