Healthcare Provider Details

I. General information

NPI: 1235109372
Provider Name (Legal Business Name): THOMAS WILLLIAM KUHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 S WASHINGTON AVE SUITE 330
HOLLAND MI
49423-7144
US

IV. Provider business mailing address

138 MAPLEFIELD RD
PLEASANT RIDGE MI
48069-1022
US

V. Phone/Fax

Practice location:
  • Phone: 616-355-3926
  • Fax: 616-393-6651
Mailing address:
  • Phone: 248-542-8970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301054651
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: