Healthcare Provider Details
I. General information
NPI: 1477952091
Provider Name (Legal Business Name): KUHN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
703 S MAIN ST STE B7
COTTONWOOD AZ
86326-4615
US
IV. Provider business mailing address
100 ZANE GREY LN
SEDONA AZ
86336-9541
US
V. Phone/Fax
- Phone: 928-634-8680
- Fax: 888-349-6394
- Phone: 928-254-9088
- Fax: 888-349-6394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CHRISTA
HANSEN
Title or Position: MEMBER/OWNER
Credential: CNM
Phone: 928-634-8680