Healthcare Provider Details

I. General information

NPI: 1205824091
Provider Name (Legal Business Name): KERRY L. KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N UNIVERSITY DR #201
CORAL SPRINGS FL
33071-6078
US

IV. Provider business mailing address

1801 N UNIVERSITY DR #201
CORAL SPRINGS FL
33071-8920
US

V. Phone/Fax

Practice location:
  • Phone: 954-755-1300
  • Fax: 954-755-8315
Mailing address:
  • Phone: 954-755-1300
  • Fax: 954-755-8315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME32454
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: