Provider Demographics
NPI:1700034642
Name:KUHLMAN, GRETCHEN LEE (NP)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:LEE
Last Name:KUHLMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:LEE
Other - Last Name:CREEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5308 HARROUN RD STE 160
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2174
Practice Address - Country:US
Practice Address - Phone:567-585-0840
Practice Address - Fax:567-585-0841
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.10154363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2890064Medicaid
OHNP28352Medicare PIN