Healthcare Provider Details

I. General information

NPI: 1053250514
Provider Name (Legal Business Name): ANTHONY KUHBANDER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 E CHICAGO RD
STURGIS MI
49091-1993
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 269-651-3218
  • Fax: 269-651-3219
Mailing address:
  • Phone: 269-552-2823
  • Fax: 269-552-2964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704353866
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: