Healthcare Provider Details

I. General information

NPI: 1215904594
Provider Name (Legal Business Name): DAVID EDWIN KUHLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2006
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9825 KENWOOD RD SUITE 105
BLUE ASH OH
45242-6251
US

IV. Provider business mailing address

9825 KENWOOD RD SUITE 105
BLUE ASH OH
45242-6251
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-4500
  • Fax: 513-872-4518
Mailing address:
  • Phone: 513-872-4500
  • Fax: 513-872-4518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number38208
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.091036
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number42587
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: