Healthcare Provider Details

I. General information

NPI: 1306072244
Provider Name (Legal Business Name): JOANNE MARIE KUHN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 06/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 KANSAS AVE
KANSAS CITY KS
66106-1119
US

IV. Provider business mailing address

4214 KANSAS AVE
KANSAS CITY KS
66106-1119
US

V. Phone/Fax

Practice location:
  • Phone: 913-321-7557
  • Fax:
Mailing address:
  • Phone: 913-321-7557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14-01291
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: