Healthcare Provider Details

I. General information

NPI: 1780524736
Provider Name (Legal Business Name): MATTHEW ROBERT KUHN CRNA, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 SW 40TH ST
MIAMI FL
33175-3530
US

IV. Provider business mailing address

7270 SW 89TH ST APT C506
MIAMI FL
33156-8305
US

V. Phone/Fax

Practice location:
  • Phone: 520-870-8680
  • Fax:
Mailing address:
  • Phone: 520-870-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number11046417
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: