Healthcare Provider Details

I. General information

NPI: 1750171963
Provider Name (Legal Business Name): REBECCA DANIELLE KUHL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14949 N US HIGHWAY 25 E STE 3
CORBIN KY
40701-6285
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 606-280-4212
  • Fax:
Mailing address:
  • Phone: 606-330-7835
  • Fax: 606-330-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4039434
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4039434
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: