Healthcare Provider Details

I. General information

NPI: 1780235788
Provider Name (Legal Business Name): RACHEL KUHRT LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6975 DIXIE HWY
FAIRFIELD OH
45014-5431
US

IV. Provider business mailing address

6975 DIXIE HWY
FAIRFIELD OH
45014-5431
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: