Healthcare Provider Details

I. General information

NPI: 1013677525
Provider Name (Legal Business Name): STEVEN A. KUHL OD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 N WOODLAWN
WICHITA KS
67208-3648
US

IV. Provider business mailing address

1851 N WEBB RD
WICHITA KS
67206-3413
US

V. Phone/Fax

Practice location:
  • Phone: 316-684-5158
  • Fax: 316-681-1005
Mailing address:
  • Phone: 316-609-2150
  • Fax: 316-858-3830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JAMES WACHTER
Title or Position: CHIEF PROFESSIONAL OFFICER
Credential:
Phone: 636-227-2600