Healthcare Provider Details

I. General information

NPI: 1093905523
Provider Name (Legal Business Name): KRISTINE R KUHN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 ALEXANDER SPRING RD
CARLISLE PA
17015-6953
US

IV. Provider business mailing address

241 ALEXANDER SPRING RD
CARLISLE PA
17015-6953
US

V. Phone/Fax

Practice location:
  • Phone: 717-245-2228
  • Fax: 717-245-0806
Mailing address:
  • Phone: 717-245-2228
  • Fax: 717-245-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA053203
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: