Healthcare Provider Details

I. General information

NPI: 1063522464
Provider Name (Legal Business Name): LAWRENCE F. KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JOHNSON FERRY RD STE 450
MARIETTA GA
30068-5433
US

IV. Provider business mailing address

1121 JOHNSON FERRY RD STE 450
MARIETTA GA
30068-5433
US

V. Phone/Fax

Practice location:
  • Phone: 770-694-6349
  • Fax: 770-299-3771
Mailing address:
  • Phone: 770-694-6349
  • Fax: 770-299-3771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR6268
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: