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1518946649

NPI Code Detail

MEDICARE: NICOLAUS J. KUEHN MD

MEDICARE: NICOLAUS J. KUEHN 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	2085R0202X	Diagnostic Radiology Physician	TM2005-0701	NM
2	2085R0202X	Diagnostic Radiology Physician	MD61076280	WA
3	2085R0202X	Diagnostic Radiology Physician	04 28109	KS
4	2085R0202X	Diagnostic Radiology Physician	ME102813	FL
5	2085R0202X	Diagnostic Radiology Physician	107457	MO
6	2085R0202X	Diagnostic Radiology Physician	C1-0025717	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2523431	OTHER	MO	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	29382072	OTHER	MO	BCBS OF KANSAS CITY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518946649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAUS J. KUEHN MD

Provider Business Mailing Address
First Line	:	1770 IOWA AVE STE 280
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-7401
Country	:	US
Telephone Number	:	951-786-0801
Fax Number	:	816-455-3905

Provider Business Practice Location Address
First Line	:	8201 E RIVERSIDE BLVD
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61114-2300
Country	:	US
Telephone Number	:	815-971-7000
Fax Number	:

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	10/02/2025

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Directions to “ NICOLAUS J. KUEHN MD” Practice Location

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