Healthcare Provider Details

I. General information

NPI: 1598767485
Provider Name (Legal Business Name): FORREST SAUNDERS KUHN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 S. DUPONT SQUARE STE A
LOUISVILLE KY
40207
US

IV. Provider business mailing address

3900 S. DUPONT SQUARE STE A
LOUISVILLE KY
40207
US

V. Phone/Fax

Practice location:
  • Phone: 502-896-2131
  • Fax: 502-896-0345
Mailing address:
  • Phone: 502-896-2131
  • Fax: 502-896-0345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number16795
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: