Healthcare Provider Details

I. General information

NPI: 1366406811
Provider Name (Legal Business Name): KENNETH JOSEPH KUHAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 S TAMARAC DR
DENVER CO
80237-1418
US

IV. Provider business mailing address

10981 E POWERS DR
ENGLEWOOD CO
80111-3960
US

V. Phone/Fax

Practice location:
  • Phone: 303-740-0080
  • Fax:
Mailing address:
  • Phone: 303-220-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number6981
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: