Healthcare Provider Details

I. General information

NPI: 1235000399
Provider Name (Legal Business Name): KENDRA MARIE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 KENWOOD ST
GREENFIELD MA
01301-1973
US

IV. Provider business mailing address

21 KENWOOD ST
GREENFIELD MA
01301-1973
US

V. Phone/Fax

Practice location:
  • Phone: 413-223-5072
  • Fax:
Mailing address:
  • Phone: 413-223-5072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2266055
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: