Healthcare Provider Details

I. General information

NPI: 1225323942
Provider Name (Legal Business Name): TAFTEN KUHL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1007
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1007
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-4076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberR-9230
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: