Healthcare Provider Details

I. General information

NPI: 1255815908
Provider Name (Legal Business Name): CORA KUHNS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 09/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 JORDAN RD SUITE A
DAPHNE AL
36526-4728
US

IV. Provider business mailing address

6401 JORDAN RD SUITE A
DAPHNE AL
36526-4728
US

V. Phone/Fax

Practice location:
  • Phone: 251-491-2676
  • Fax: 251-491-2685
Mailing address:
  • Phone: 251-491-2676
  • Fax: 251-491-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: