Theresa Kauth
NPI #1003211012 in Bloomington, Illinois
Provider Information
- NPI Number
- 1003211012
- Entity Type
- Individual
- Name
- Theresa Kauth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 3, 2014
- Last Updated
- May 6, 2015
Practice Location
- Address
- 108 W MARKET ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3918
- Phone
- (309) 827-5351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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