Healthcare Provider Details

I. General information

NPI: 1942133095
Provider Name (Legal Business Name): AUDREY KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 MAIN ST
ONEIDA NY
13421-1648
US

IV. Provider business mailing address

2712 NEW BOSTON RD
CANASTOTA NY
13032-4396
US

V. Phone/Fax

Practice location:
  • Phone: 607-743-3978
  • Fax:
Mailing address:
  • Phone: 607-743-3978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number015118-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: