Healthcare Provider Details

I. General information

NPI: 1154443893
Provider Name (Legal Business Name): JENNIFER ELAINE KUHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 MEDICAL CAMPUS RD SUITE 249
HAGERSTOWN MD
21742-6700
US

IV. Provider business mailing address

11110 MEDICAL CAMPUS RD SUITE 249
HAGERSTOWN MD
21742-6700
US

V. Phone/Fax

Practice location:
  • Phone: 301-714-4100
  • Fax: 301-714-4101
Mailing address:
  • Phone: 301-714-4100
  • Fax: 301-714-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0065754
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: