Provider Demographics
NPI:1851047203
Name:KUHLMANN, CHERSTI KATE
Entity Type:Individual
Prefix:
First Name:CHERSTI
Middle Name:KATE
Last Name:KUHLMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERSTI
Other - Middle Name:KATE
Other - Last Name:GODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2465 BONADENT DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-4111
Mailing Address - Country:US
Mailing Address - Phone:315-539-1938
Mailing Address - Fax:315-539-9493
Practice Address - Street 1:2465 BONADENT DR STE 3
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-4111
Practice Address - Country:US
Practice Address - Phone:315-539-1938
Practice Address - Fax:315-539-9493
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)