Healthcare Provider Details

I. General information

NPI: 1972101616
Provider Name (Legal Business Name): MURIEL KUHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19905 CHICAGO ST
ELKHORN NE
68022-4903
US

IV. Provider business mailing address

19905 CHICAGO ST
ELKHORN NE
68022-4903
US

V. Phone/Fax

Practice location:
  • Phone: 402-212-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: