Healthcare Provider Details

I. General information

NPI: 1134980329
Provider Name (Legal Business Name): DENISE R KUHLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 YOUNGSTOWN POLAND RD
STRUTHERS OH
44471-1103
US

IV. Provider business mailing address

508 MANOR CIR
COLUMBIANA OH
44408-1047
US

V. Phone/Fax

Practice location:
  • Phone: 303-183-3078
  • Fax: 348-551-0722
Mailing address:
  • Phone: 330-853-9237
  • Fax: 330-759-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2405999
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: