Healthcare Provider Details
I. General information
NPI: 1184709446
Provider Name (Legal Business Name): BRETT KUHN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/26/2006
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
985450 NEBRASKA MED CTR
OMAHA NE
68198-5450
US
IV. Provider business mailing address
985450 NEBRASKA MED CTR
OMAHA NE
68198-5450
US
V. Phone/Fax
- Phone: 402-559-8943
- Fax:
- Phone: 402-559-8943
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 324 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: