Provider / Organization | NPI | Date Certified |
---|---|---|
CAITLYN MARIE KOHAKE | 1013652221 | 2023-05-07 |
Caitlyn Marie Kohake is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013652221. Registration indicates Caitlyn Marie Kohake is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant) (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Caitlyn Marie Kohake |
Practice Office Address | 6720 BERTNER AVE HOUSTON, TX US |
Practice Office Telephone | 8233552666 |
Mailing Address | 6720 BERTNER AVE HOUSTON, TX 770300848 US |
Business Telephone | 8233552666 |
Address | City / State | Phone / Fax |
---|---|---|
3300 NW Expressway | Oklahoma City, OK 731124418 | 4059496652 |
Code | Practice | License No State |
---|---|---|
367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers | 39
OK |
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers | 32698117
TX |