Healthcare Provider Details

I. General information

NPI: 1154300598
Provider Name (Legal Business Name): MARK J KUHNS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 MAIN ST
NORTHAMPTON PA
18067-1212
US

IV. Provider business mailing address

2121 MAIN ST
NORTHAMPTON PA
18067-1212
US

V. Phone/Fax

Practice location:
  • Phone: 610-262-8858
  • Fax: 610-262-7388
Mailing address:
  • Phone: 610-262-8858
  • Fax: 610-262-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0035834L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: