Healthcare Provider Details

I. General information

NPI: 1184352510
Provider Name (Legal Business Name): SARAH MARIE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2927 EDWARDS ST
BUTTE MT
59701-4109
US

IV. Provider business mailing address

2927 EDWARDS ST
BUTTE MT
59701-4109
US

V. Phone/Fax

Practice location:
  • Phone: 701-330-0811
  • Fax:
Mailing address:
  • Phone: 701-330-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number525
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: