Healthcare Provider Details

I. General information

NPI: 1497331920
Provider Name (Legal Business Name): HARRY J KUHN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15644 MARSHALLVILLE ST NW
CANAL FULTON OH
44614-9016
US

IV. Provider business mailing address

15644 MARSHALLVILLE ST NW
CANAL FULTON OH
44614-9016
US

V. Phone/Fax

Practice location:
  • Phone: 330-819-6559
  • Fax:
Mailing address:
  • Phone: 330-819-6559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT002147
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: