Healthcare Provider Details

I. General information

NPI: 1407232283
Provider Name (Legal Business Name): MRS. CHRISTY LEE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTY LEE LEMPKE

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 NYE RD
LYONS NY
14489-9133
US

IV. Provider business mailing address

47 SILVER ST
CLIFTON SPRINGS NY
14432-9512
US

V. Phone/Fax

Practice location:
  • Phone: 315-876-3178
  • Fax:
Mailing address:
  • Phone: 315-521-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number022996-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: