Healthcare Provider Details

I. General information

NPI: 1982682498
Provider Name (Legal Business Name): DENIS JAY KUHLMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 COLLEGE ST
CEDAR FALLS IA
50613-2500
US

IV. Provider business mailing address

1845 PARTRIDGE LN
WATERLOO IA
50701-8923
US

V. Phone/Fax

Practice location:
  • Phone: 319-236-3858
  • Fax:
Mailing address:
  • Phone: 319-236-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number21134
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: