Healthcare Provider Details

I. General information

NPI: 1063479731
Provider Name (Legal Business Name): GARY L KUHN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2599 ELMWOOD AVENUE
ROCHESTER NY
14618
US

IV. Provider business mailing address

2599 ELMWOOD AVENUE
ROCHESTER NY
14618
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-6532
  • Fax: 585-244-6534
Mailing address:
  • Phone: 585-244-6532
  • Fax: 585-244-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number17683
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: