Healthcare Provider Details

I. General information

NPI: 1235244427
Provider Name (Legal Business Name): DAVID C KUHN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S MAIN ST
WILDWOOD FL
34785-4539
US

IV. Provider business mailing address

112 S MAIN ST
WILDWOOD FL
34785-4539
US

V. Phone/Fax

Practice location:
  • Phone: 352-748-1125
  • Fax: 352-748-0412
Mailing address:
  • Phone: 352-748-1125
  • Fax: 352-748-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0002727
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: