Healthcare Provider Details

I. General information

NPI: 1619949260
Provider Name (Legal Business Name): STACEY J KUHNS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 SCHUYLKILL RD
PHOENIXVILLE PA
19460-1879
US

IV. Provider business mailing address

267 SCHUYLKILL RD
PHOENIXVILLE PA
19460-1879
US

V. Phone/Fax

Practice location:
  • Phone: 610-935-4745
  • Fax: 610-935-4748
Mailing address:
  • Phone: 610-935-4745
  • Fax: 610-935-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD032147E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: