Provider Demographics
NPI:1841372034
Name:MUENSTERMAN, KALAH SU
Entity type:Individual
Prefix:MRS
First Name:KALAH
Middle Name:SU
Last Name:MUENSTERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALAH
Other - Middle Name:SU
Other - Last Name:KOESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 N WEINBACH AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-4301
Mailing Address - Country:US
Mailing Address - Phone:812-437-2289
Mailing Address - Fax:812-477-1247
Practice Address - Street 1:1201 N WEINBACH AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-4301
Practice Address - Country:US
Practice Address - Phone:812-437-2289
Practice Address - Fax:812-477-1247
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant