Healthcare Provider Details

I. General information

NPI: 1942230438
Provider Name (Legal Business Name): JOHN RICHARD KUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 NW 58TH ST SUITE 100
OKLAHOMA CITY OK
73112-4724
US

IV. Provider business mailing address

3555 NW 58TH ST SUITE 100
OKLAHOMA CITY OK
73112-4707
US

V. Phone/Fax

Practice location:
  • Phone: 405-631-0045
  • Fax: 405-631-0059
Mailing address:
  • Phone: 405-631-0045
  • Fax: 405-631-0059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number13395
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: