Healthcare Provider Details

I. General information

NPI: 1154792083
Provider Name (Legal Business Name): ALISHA KUHN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12484 LAKE UNDERHILL RD
ORLANDO FL
32828-7100
US

IV. Provider business mailing address

12484 LAKE UNDERHILL RD
ORLANDO FL
32828-7100
US

V. Phone/Fax

Practice location:
  • Phone: 407-281-0707
  • Fax: 407-273-4793
Mailing address:
  • Phone: 407-281-0707
  • Fax: 407-273-4793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: