Healthcare Provider Details

I. General information

NPI: 1679292999
Provider Name (Legal Business Name): KAYLI MARIE KUHN PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 LEESBURG AVE
WASHINGTON COURT HOUSE OH
43160-8655
US

IV. Provider business mailing address

14 GRIMES ST
JACKSON OH
45640-2026
US

V. Phone/Fax

Practice location:
  • Phone: 740-333-7681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03442423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: