Healthcare Provider Details

I. General information

NPI: 1114393733
Provider Name (Legal Business Name): KRISTIN E KUHAR MS, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 S PLEASANT ST APT 2
AMHERST MA
01002-2338
US

IV. Provider business mailing address

37 S PLEASANT ST APT 2
AMHERST MA
01002-2338
US

V. Phone/Fax

Practice location:
  • Phone: 574-274-7667
  • Fax:
Mailing address:
  • Phone: 574-274-7667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2711
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: