Healthcare Provider Details

I. General information

NPI: 1356489942
Provider Name (Legal Business Name): WENDY LEE KUHN RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18102 CUTLASS DR
FORT MYERS BEACH FL
33931-2302
US

IV. Provider business mailing address

18102 CUTLASS DR
FORT MYERS BEACH FL
33931-2302
US

V. Phone/Fax

Practice location:
  • Phone: 239-466-5512
  • Fax: 239-466-5512
Mailing address:
  • Phone: 239-466-5512
  • Fax: 239-466-5512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT2010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: