Healthcare Provider Details

I. General information

NPI: 1164182630
Provider Name (Legal Business Name): STEVEN A KUHL OD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N MAIN
WINFIELD KS
67156-4326
US

IV. Provider business mailing address

1851 N WEBB RD
WICHITA KS
67206-3413
US

V. Phone/Fax

Practice location:
  • Phone: 620-221-0740
  • Fax: 620-221-7238
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: O.D
Phone: 636-227-2600