Healthcare Provider Details

I. General information

NPI: 1154690667
Provider Name (Legal Business Name): KAREN KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2011
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 ARMORY DR
UTICA NY
13501-5362
US

IV. Provider business mailing address

1666 HAGER ST
UTICA NY
13502-5333
US

V. Phone/Fax

Practice location:
  • Phone: 315-368-6523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN199118
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: