Healthcare Provider Details

I. General information

NPI: 1447966965
Provider Name (Legal Business Name): KUHILL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 10/21/2023
Certification Date: 10/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 HAWKEYE ST
OSCEOLA NE
68651-4474
US

IV. Provider business mailing address

PO BOX 182
OSCEOLA NE
68651-0182
US

V. Phone/Fax

Practice location:
  • Phone: 402-603-8728
  • Fax: 402-603-8788
Mailing address:
  • Phone: 402-603-8728
  • Fax: 402-603-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS KUCHAR
Title or Position: OWNER/PRESIDENT/PIC
Credential: PHARMD
Phone: 402-603-8728