Healthcare Provider Details

I. General information

NPI: 1366469686
Provider Name (Legal Business Name): FREDERICK ADAIR KUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 WATERS AVE STE 112
SAVANNAH GA
31404
US

IV. Provider business mailing address

PO BOX 23357
SAVANNAH GA
31403-3357
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-1070
  • Fax: 912-355-9773
Mailing address:
  • Phone: 912-355-1070
  • Fax: 912-355-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number033849
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number033849
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: