Healthcare Provider Details

I. General information

NPI: 1609816362
Provider Name (Legal Business Name): MAUREEN KUHN F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MAIN STREET
CHERRY VALLEY NY
13320
US

IV. Provider business mailing address

2 MAIN STREET
CHERRY VALLEY NY
13320
US

V. Phone/Fax

Practice location:
  • Phone: 607-264-3036
  • Fax: 607-264-9326
Mailing address:
  • Phone: 607-264-3036
  • Fax: 607-264-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF330064
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: