Healthcare Provider Details

I. General information

NPI: 1144844234
Provider Name (Legal Business Name): REGINA SUE KUHN MSN APRN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W RAMPART ST STE 250
SHELBYVILLE IN
46176-8897
US

IV. Provider business mailing address

2064 W OLD 44
RUSHVILLE IN
46173-7789
US

V. Phone/Fax

Practice location:
  • Phone: 317-398-7644
  • Fax:
Mailing address:
  • Phone: 765-561-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71010181A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: