Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3005302 | KY |
N | 363L00000X | Nurse Practitioner | 5302P | KY |
NPI | 1013129626 |
---|---|
Provider Name | Karen Landwehr |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Erlanger, KY 41018-3127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2803167 | (05) | OH |
7100026530 | (05) | KY |