Healthcare Provider Details

I. General information

NPI: 1124018304
Provider Name (Legal Business Name): DUNCAN MCNICOL KUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 GOVERNORS AVE
MEDFORD MA
02155-3017
US

IV. Provider business mailing address

1493 CAMBRIDGE ST THE CAMBRIDGE HOSPITAL INTENSIVE CARE UNIT
CAMBRIDGE MA
02139-1047
US

V. Phone/Fax

Practice location:
  • Phone: 206-940-0740
  • Fax: 617-665-1671
Mailing address:
  • Phone: 617-665-2177
  • Fax: 617-665-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number223210
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number223210
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number223210
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number223210
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: