MEDICARE: DR. WAYNE E KUHL MD

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	207R00000X	Internal Medicine Physician	7625	AZ

General Provider Information

NPI Number	:	1215913884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE E KUHL MD

Provider Business Mailing Address
First Line	:	4400 N 32ND ST
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-522-1900
Fax Number	:	602-381-3281

Provider Business Practice Location Address
First Line	:	4400 N 32ND ST
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3953
Country	:	US
Telephone Number	:	602-522-1900
Fax Number	:	602-381-3281

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	10/01/2008

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