Healthcare Provider Details

I. General information

NPI: 1669856209
Provider Name (Legal Business Name): PAUL KUHLMAN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MCNEEL LN
NORTH PLATTE NE
69101-6054
US

IV. Provider business mailing address

215 MCNEEL LN
NORTH PLATTE NE
69101-6054
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-6655
  • Fax: 308-534-6662
Mailing address:
  • Phone: 308-534-6655
  • Fax: 308-534-6662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1933
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: