Healthcare Provider Details

I. General information

NPI: 1275634073
Provider Name (Legal Business Name): GREGORY ALAN KUHLMANN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28190 NORTH MAIN STREET FAMILY CHIROPRACTIC AND HEALTH CENTER PC SUITE A
DAPHNE AL
36526
US

IV. Provider business mailing address

28190 NORTH MAIN STREET SUITE A
DAPHNE AL
36526
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-0700
  • Fax: 251-621-8187
Mailing address:
  • Phone: 251-621-0700
  • Fax: 251-621-8187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1211
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: