Healthcare Provider Details

I. General information

NPI: 1629268255
Provider Name (Legal Business Name): KATE A KUHLMAN-WOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE A KUHLMAN MD

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 N LAKEWOOD DRIVE, STE 200
COEUR D ALENE ID
83814
US

IV. Provider business mailing address

1875 N LAKEWOOD DRIVE, SUITE 200
COEUR D ALENE ID
83814
US

V. Phone/Fax

Practice location:
  • Phone: 208-758-0716
  • Fax: 208-667-7717
Mailing address:
  • Phone: 208-758-0716
  • Fax: 208-667-7717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberML20008996
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberMD60180835
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD60180835
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: