Healthcare Provider Details

I. General information

NPI: 1942764238
Provider Name (Legal Business Name): EMILEE RENEE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 17TH AVE
CENTRAL CITY NE
68826-9614
US

IV. Provider business mailing address

2325 V RD
CLARKS NE
68628-2848
US

V. Phone/Fax

Practice location:
  • Phone: 308-946-3088
  • Fax:
Mailing address:
  • Phone: 785-577-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3562
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: