Healthcare Provider Details

I. General information

NPI: 1003170333
Provider Name (Legal Business Name): ERIC C KUHLMAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 GRANT ST SUITE 200
THORNTON CO
80229-4300
US

IV. Provider business mailing address

9005 GRANT ST SUITE 200
THORNTON CO
80229-4300
US

V. Phone/Fax

Practice location:
  • Phone: 540-434-4366
  • Fax: 303-287-7357
Mailing address:
  • Phone: 540-434-4366
  • Fax: 303-287-7357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5901002461
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0103301153
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD.0000760
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: