Healthcare Provider Details

I. General information

NPI: 1578473187
Provider Name (Legal Business Name): ANNA KATHERINE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60368 COTTON GIN PORT RD
AMORY MS
38821-9104
US

IV. Provider business mailing address

55 WADDLE RD
FULTON MS
38843-8214
US

V. Phone/Fax

Practice location:
  • Phone: 652-257-3669
  • Fax:
Mailing address:
  • Phone: 652-275-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT4323
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: