Healthcare Provider Details

I. General information

NPI: 1558459925
Provider Name (Legal Business Name): DAVID C KUHLMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EAST 12TH STREET
SEDALIA MO
65301
US

IV. Provider business mailing address

512 WEST MAIN P O BOX 158
COLE CAMP MO
65325-0158
US

V. Phone/Fax

Practice location:
  • Phone: 660-827-9573
  • Fax: 660-829-8865
Mailing address:
  • Phone: 660-668-0851
  • Fax: 660-668-3041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number2006027165
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: