Healthcare Provider Details
I. General information
NPI: 1255160560
Provider Name (Legal Business Name): KUHN NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2644 POLK AVE
SAN DIEGO CA
92104-1709
US
IV. Provider business mailing address
2358 UNIVERSITY AVE # 2075
SAN DIEGO CA
92104-2720
US
V. Phone/Fax
- Phone: 619-846-0639
- Fax:
- Phone: 619-846-0639
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIRSTEN
KUHN
Title or Position: PRESIDENT
Credential: NP
Phone: 619-846-0639