Healthcare Provider Details

I. General information

NPI: 1013058593
Provider Name (Legal Business Name): LEANNE KUHLMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 WADSWORTH BLVD
LAKEWOOD CO
80215
US

IV. Provider business mailing address

PO BOX 668
ARVADA CO
80001-0668
US

V. Phone/Fax

Practice location:
  • Phone: 303-234-0445
  • Fax:
Mailing address:
  • Phone: 303-422-9438
  • Fax: 303-422-9474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number61384
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: