Healthcare Provider Details

I. General information

NPI: 1831540293
Provider Name (Legal Business Name): DANIELLE MONIQUE KUHN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 INDEPENDENCE AVE
AKRON OH
44310-1812
US

IV. Provider business mailing address

1260 INDEPENDENCE AVE
AKRON OH
44310-1812
US

V. Phone/Fax

Practice location:
  • Phone: 348-677-7440
  • Fax:
Mailing address:
  • Phone: 348-677-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.004739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: