Healthcare Provider Details

I. General information

NPI: 1639537665
Provider Name (Legal Business Name): KUHN ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 02/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5546 S FORT APACHE RD STE 100B
LAS VEGAS NV
89148-7693
US

IV. Provider business mailing address

5546 S FORT APACHE RD STE 100B
LAS VEGAS NV
89148-7693
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-4778
  • Fax: 702-798-4779
Mailing address:
  • Phone: 702-798-4778
  • Fax: 702-798-4779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberNV 1544
License Number StateNV

VIII. Authorized Official

Name: MR. TIMOTHY KUHN
Title or Position: OWNER
Credential:
Phone: 702-798-4778