Healthcare Provider Details
I. General information
NPI: 1295597896
Provider Name (Legal Business Name): KUHN MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14997 PATHAN PL
NEVADA CITY CA
95959-8636
US
IV. Provider business mailing address
PO BOX 2549
NEVADA CITY CA
95959-1950
US
V. Phone/Fax
- Phone: 530-205-7982
- Fax: 405-749-4561
- Phone: 405-751-4664
- Fax: 405-749-4561
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083A0300X |
| Taxonomy | Addiction Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KEVIN
KUHN
Title or Position: PRESIDENT
Credential: MD
Phone: 405-751-4664