Healthcare Provider Details

I. General information

NPI: 1508969767
Provider Name (Legal Business Name): PAUL R KUHLMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N SHIAWASSEE ST
CORUNNA MI
48817-1039
US

IV. Provider business mailing address

611 N SHIAWASSEE ST
CORUNNA MI
48817-1039
US

V. Phone/Fax

Practice location:
  • Phone: 989-743-4851
  • Fax: 989-743-3169
Mailing address:
  • Phone: 989-743-4851
  • Fax: 989-743-3169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11588
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: