Healthcare Provider Details

I. General information

NPI: 1003098625
Provider Name (Legal Business Name): DONALD ROBERT KUHN D.C.,DACBR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W PEARCE BLVD
WENTZVILLE MO
63385-1418
US

IV. Provider business mailing address

120 W PEARCE BLVD
WENTZVILLE MO
63385-1418
US

V. Phone/Fax

Practice location:
  • Phone: 636-327-4752
  • Fax: 636-327-5902
Mailing address:
  • Phone: 636-327-4752
  • Fax: 636-327-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberCE005418
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: