Healthcare Provider Details
I. General information
NPI: 1902467376
Provider Name (Legal Business Name): BENJAMIN ALAN KUHLMAN CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2019
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2195 ALLENTOWN RD
LIMA OH
45805-1705
US
IV. Provider business mailing address
PO BOX 636930
CINCINNATI OH
45263-6930
US
V. Phone/Fax
- Phone: 419-227-2245
- Fax: 419-229-1573
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.025166 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: