Healthcare Provider Details

I. General information

NPI: 1841562089
Provider Name (Legal Business Name): KUHN CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 02/03/2012
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: DAVID M KUHN
Title or Position: OWNER
Credential: D.O.
Phone: 352-748-1125