Healthcare Provider Details

I. General information

NPI: 1093441735
Provider Name (Legal Business Name): ANNE FRANCES KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022
Certification Date: 05/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HAWAII DOE 1390 MILLER
HONOLULU HI
96813
US

IV. Provider business mailing address

84-965 FARRINGTON HWY # A705
WAIANAE HI
96792-2044
US

V. Phone/Fax

Practice location:
  • Phone: 510-501-1397
  • Fax:
Mailing address:
  • Phone: 510-501-1397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB747668
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: