Healthcare Provider Details

I. General information

NPI: 1922732510
Provider Name (Legal Business Name): KACI LYNN KUHN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W LORAIN ST
OBERLIN OH
44074-1026
US

IV. Provider business mailing address

19060 CHAMBERLAIN RD
GRAFTON OH
44044-9294
US

V. Phone/Fax

Practice location:
  • Phone: 440-775-9110
  • Fax:
Mailing address:
  • Phone: 440-281-5403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031730
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: