Healthcare Provider Details

I. General information

NPI: 1558779173
Provider Name (Legal Business Name): KERI KUHN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 27TH ST STE 201
PORTSMOUTH OH
45662-2654
US

IV. Provider business mailing address

1735 27TH ST STE B06
PORTSMOUTH OH
45662-2681
US

V. Phone/Fax

Practice location:
  • Phone: 740-353-4143
  • Fax:
Mailing address:
  • Phone: 740-356-8034
  • Fax: 740-353-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCOA.16270-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: