MEDICARE: STEPHANIE KUHLMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH17327	FL

General Provider Information

NPI Number	:	1104386168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE KUHLMAN

Provider Business Mailing Address
First Line	:	2928 NE 14TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34479-3308
Country	:	US
Telephone Number	:	616-302-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E SILVER SPRINGS BLVD STE 134
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-6830
Country	:	US
Telephone Number	:	352-355-2888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	03/24/2019

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