Healthcare Provider Details

I. General information

NPI: 1114241247
Provider Name (Legal Business Name): JANE ANN KUHN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE ANN VANBOCKEL ARNP

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ABRAHAM FLEXNER WAY SUIT3 1004
LOUISVILLE KY
40202-3841
US

IV. Provider business mailing address

100 E LIBERTY ST STE 800
LOUISVILLE KY
40202-1428
US

V. Phone/Fax

Practice location:
  • Phone: 502-589-3173
  • Fax: 502-589-6751
Mailing address:
  • Phone: 502-589-3173
  • Fax: 502-589-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1097947
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3006587
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: