Theresa Kauth
Nurse Practitioner - Family Medicine
108 W Market St
Bloomington
, Illinois 61701-3918
Theresa Kauth
Nurse Practitioner - Family Medicine
108 W Market St
Bloomington
, Illinois 61701-3918
(309) 829-6808
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Theresa Kauth
- 108 W Market St
- Bloomington, IL
- Zip : 61701-3918
- Fax : (309) 829-6808
- Phone : (309) 827-5351
Second Address
- Theresa Kauth
- 108 W Market St
- Bloomington, IL
- Zip : 61701-3918
- Fax : (309) 829-6808
- Phone : (309) 827-5351
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209.011910 | IL |
National Provider Identifier
| NPI | 1003211012 |
|---|---|
| Provider Name | Theresa Kauth |
| First Address | Bloomington, IL 61701-3918 |
| Second Address | Bloomington, IL 61701-3918 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2014 |
| Last Update Date | 06/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.