Healthcare Provider Details

I. General information

NPI: 1568447126
Provider Name (Legal Business Name): JAMES R KUHN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7685 STARMONT CT
DUBLIN OH
43016-9565
US

IV. Provider business mailing address

7685 STARMONT CT
DUBLIN OH
43016-9565
US

V. Phone/Fax

Practice location:
  • Phone: 614-804-9877
  • Fax:
Mailing address:
  • Phone: 614-804-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number5000714
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50000714
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50000714
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: