Healthcare Provider Details

I. General information

NPI: 1417454968
Provider Name (Legal Business Name): JONATHAN A KUHLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 BROADWAY BLVD STE 300
KANSAS CITY MO
64111-3342
US

IV. Provider business mailing address

901 E 104TH ST MAILSTOP 400S
KANSAS CITY MO
64131
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-1711
  • Fax: 816-932-1719
Mailing address:
  • Phone: 816-932-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2022020969
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: