Healthcare Provider Details

I. General information

NPI: 1861403560
Provider Name (Legal Business Name): KARIN JOHNSON KUHN MD, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN LYNN JOHNSON DPT

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/06/2022
Certification Date: 02/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR # MC5510
STANFORD CA
94305-2295
US

IV. Provider business mailing address

300 PASTEUR DR # MC5510
STANFORD CA
94305-2295
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-7816
  • Fax:
Mailing address:
  • Phone: 650-723-7816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305204657
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA138028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: