Healthcare Provider Details

I. General information

NPI: 1518002849
Provider Name (Legal Business Name): KELLY DAWN KUHN LCMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7272 K-4 HIGHWAY SUITE CC
MERIDEN KS
66512
US

IV. Provider business mailing address

7696 ANDERSON RD
MERIDEN KS
66512-9331
US

V. Phone/Fax

Practice location:
  • Phone: 785-484-3441
  • Fax: 785-484-3441
Mailing address:
  • Phone: 785-484-2056
  • Fax: 785-484-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number021
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: