Healthcare Provider Details

I. General information

NPI: 1336277227
Provider Name (Legal Business Name): DAVID M KUHLMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 13TH ST
GULFPORT MS
39501-2515
US

IV. Provider business mailing address

1108 OAKLEIGH DR
HATTIESBURG MS
39402-3068
US

V. Phone/Fax

Practice location:
  • Phone: 601-288-3440
  • Fax: 601-288-3451
Mailing address:
  • Phone: 601-288-3440
  • Fax: 601-288-3451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number17563
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: