MEDICARE: ABBIE LEE KUHN MSSA

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	104100000X	Social Worker	I0031575	OH

General Provider Information

NPI Number	:	1437342524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBIE LEE KUHN MSSA

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2081 COVENTRY RD
Second Line	:	APT. 3REAR
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2420
Country	:	US
Telephone Number	:	724-344-9261
Fax Number	:

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

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	08/22/2007

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