Healthcare Provider Details

I. General information

NPI: 1528096609
Provider Name (Legal Business Name): BRIAN K KUHLMAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 MONTGOMERY RD
CINCINNATI OH
45242-7257
US

IV. Provider business mailing address

9711 MONTGOMERY RD
MONTGOMERY OH
45242-7247
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-8486
  • Fax: 513-793-2023
Mailing address:
  • Phone: 513-793-8486
  • Fax: 513-793-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5396T2307
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: