Healthcare Provider Details

I. General information

NPI: 1073209805
Provider Name (Legal Business Name): AMANDA KUHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 E MASTEN CIR
MILFORD DE
19963-1091
US

IV. Provider business mailing address

769 E MASTEN CIR
MILFORD DE
19963-1091
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: