Healthcare Provider Details

I. General information

NPI: 1740786730
Provider Name (Legal Business Name): ELAINE PATRICIA KUHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL DR
LEBANON NH
03756-0001
US

IV. Provider business mailing address

1 MEDICAL DR
LEBANON NH
03756-0001
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number21890
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: