Healthcare Provider Details

I. General information

NPI: 1366715302
Provider Name (Legal Business Name): AMY M KUHL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 KENNEDY MEMORIAL DR SUITE 201
WATERVILLE ME
04901-4540
US

IV. Provider business mailing address

43 WHITING HILL RD SUITE300
BREWER ME
04412-1005
US

V. Phone/Fax

Practice location:
  • Phone: 207-873-3753
  • Fax: 207-873-2620
Mailing address:
  • Phone: 207-973-5035
  • Fax: 207-973-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2532
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: