Healthcare Provider Details

I. General information

NPI: 1851527386
Provider Name (Legal Business Name): JOSHUA JONATHAN KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIR
OCEANSIDE CA
92055
US

IV. Provider business mailing address

4815 LONG LN
EVANS GA
30809-5831
US

V. Phone/Fax

Practice location:
  • Phone: 706-631-2560
  • Fax:
Mailing address:
  • Phone: 706-631-2560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101247936
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD600001670
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: