Healthcare Provider Details

I. General information

NPI: 1952375131
Provider Name (Legal Business Name): STEVEN R KUHN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 W STATE STREET
SYCAMORE IL
60178
US

IV. Provider business mailing address

954 W STATE STREET
SYCAMORE IL
60178
US

V. Phone/Fax

Practice location:
  • Phone: 815-895-9144
  • Fax: 815-895-5740
Mailing address:
  • Phone: 815-895-9144
  • Fax: 815-895-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085000412
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: