Healthcare Provider Details

I. General information

NPI: 1073390415
Provider Name (Legal Business Name): DR. ERIC KUHN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 N MUNROE RD
TALLMADGE OH
44278-2055
US

IV. Provider business mailing address

3425 DAPPLEGRAY ST NW
CANTON OH
44709-1929
US

V. Phone/Fax

Practice location:
  • Phone: 330-630-2715
  • Fax:
Mailing address:
  • Phone: 330-409-5605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number019971
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: