Healthcare Provider Details

I. General information

NPI: 1306067889
Provider Name (Legal Business Name): CYNTHIA ANN KUHN RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 PEACH ST
ERIE PA
16508-2768
US

IV. Provider business mailing address

11324 YAPLE RD
WATERFORD PA
16441-2040
US

V. Phone/Fax

Practice location:
  • Phone: 814-864-0038
  • Fax: 814-864-0621
Mailing address:
  • Phone: 814-796-9116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000821
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: