Healthcare Provider Details

I. General information

NPI: 1518436088
Provider Name (Legal Business Name): JAIME ANN KUHR MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6575 KIRKVILLE RD
EAST SYRACUSE NY
13057-9809
US

IV. Provider business mailing address

5088 HACKBERRY LN
CLAY NY
13041-8910
US

V. Phone/Fax

Practice location:
  • Phone: 315-701-5710
  • Fax:
Mailing address:
  • Phone: 315-395-9617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: