Healthcare Provider Details

I. General information

NPI: 1861538704
Provider Name (Legal Business Name): KARL KUHNE P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 W PINHOOK RD STE 100
LAFAYETTE LA
70508-3735
US

IV. Provider business mailing address

1602 W PINHOOK RD STE 100
LAFAYETTE LA
70508-3735
US

V. Phone/Fax

Practice location:
  • Phone: 337-269-1161
  • Fax: 337-269-1169
Mailing address:
  • Phone: 337-269-1161
  • Fax: 337-269-1169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number02655
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: