Healthcare Provider Details

I. General information

NPI: 1346212271
Provider Name (Legal Business Name): JEFFREY CRAIG KUHLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PENNSYLVANIA AVE NW WHITE HOUSE MEDICAL UNIT
WASHINGTON DC
20502-0001
US

IV. Provider business mailing address

1600 PENNSYLVANIA AVE NW WHITE HOUSE MEDICAL UNIT
WASHINGTON DC
20502-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-757-2481
  • Fax:
Mailing address:
  • Phone: 202-757-2481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01020
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number9701020
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number9701020
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number9701020
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: