Healthcare Provider Details

I. General information

NPI: 1710238548
Provider Name (Legal Business Name): CHARLES S. KUHENS ACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 402 (LANDSTUHL REGIONAL MEDICAL CENTER) BOX 1340
APO AE
09180-0000
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE CMR 402 BOX 1340
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 04906371867141
  • Fax:
Mailing address:
  • Phone: 301-295-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2011013609
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: