Healthcare Provider Details

I. General information

NPI: 1427040971
Provider Name (Legal Business Name): JEFFREY REME KUHLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 BROOKDALE DR SUITE 300
STATESVILLE NC
28677-3451
US

IV. Provider business mailing address

650 SIGNAL HILL DRIVE EXT PO BOX 1845
STATESVILLE NC
28625-4353
US

V. Phone/Fax

Practice location:
  • Phone: 704-873-3250
  • Fax: 704-873-2940
Mailing address:
  • Phone: 704-873-4277
  • Fax: 704-873-4511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9400883
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: