Healthcare Provider Details

I. General information

NPI: 1346768801
Provider Name (Legal Business Name): CHLOE NICHOLE-AMBER KUHN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6351 SUNSET DR STE 200
SOUTH MIAMI FL
33143-4842
US

IV. Provider business mailing address

7840 SW 16TH ST
MIAMI FL
33155-1304
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-5480
  • Fax:
Mailing address:
  • Phone: 786-999-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: