Healthcare Provider Details

I. General information

NPI: 1063448637
Provider Name (Legal Business Name): ALBERT KEITH KUHNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

496 ALTAPASS HWY
SPRUCE PINE NC
28777
US

IV. Provider business mailing address

496 ALTAPASS HWY
SPRUCE PINE NC
28777
US

V. Phone/Fax

Practice location:
  • Phone: 828-765-0170
  • Fax: 828-765-5877
Mailing address:
  • Phone: 828-765-0170
  • Fax: 828-765-5877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21814
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: