Healthcare Provider Details

I. General information

NPI: 1164194254
Provider Name (Legal Business Name): SCOTT HENRY KUHN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 HARRISBURG PIKE
CARLISLE PA
17013-1607
US

IV. Provider business mailing address

401 W CHESTNUT ST
PERKASIE PA
18944-1309
US

V. Phone/Fax

Practice location:
  • Phone: 888-814-4268
  • Fax:
Mailing address:
  • Phone: 267-885-4416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP029038L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: