Healthcare Provider Details

I. General information

NPI: 1629422837
Provider Name (Legal Business Name): JENNIFER ANNE KUHN RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 PADDOCK DR
FLORISSANT MO
63033-3519
US

IV. Provider business mailing address

940 PADDOCK DR
FLORISSANT MO
63033-3519
US

V. Phone/Fax

Practice location:
  • Phone: 314-283-5398
  • Fax:
Mailing address:
  • Phone: 314-283-5398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number2015032877
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: