Healthcare Provider Details

I. General information

NPI: 1528532017
Provider Name (Legal Business Name): KATHERINE KUHN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 STONE ST STE 2
PORT HURON MI
48060-3569
US

IV. Provider business mailing address

1107 STONE ST STE 2
PORT HURON MI
48060-3569
US

V. Phone/Fax

Practice location:
  • Phone: 810-824-9215
  • Fax: 810-958-4568
Mailing address:
  • Phone: 810-824-9215
  • Fax: 810-958-4568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE KUHN
Title or Position: OWNER
Credential: RAC
Phone: 269-599-3828