Healthcare Provider Details

I. General information

NPI: 1467501098
Provider Name (Legal Business Name): KEVIN KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD PSSB 2100
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2472 LARKSPUR LN
SACRAMENTO CA
95825-4153
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA97849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: