Healthcare Provider Details

I. General information

NPI: 1104244193
Provider Name (Legal Business Name): KUHN FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7181 COLLEGE PKWY SUITE 6
FORT MYERS FL
33907-5669
US

IV. Provider business mailing address

7181 COLLEGE PKWY SUITE 6
FORT MYERS FL
33907-5669
US

V. Phone/Fax

Practice location:
  • Phone: 239-400-2000
  • Fax:
Mailing address:
  • Phone: 239-400-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10896
License Number StateFL

VIII. Authorized Official

Name: DR. ALEXANDER KUHN
Title or Position: MGMR
Credential:
Phone: 239-400-2000