Healthcare Provider Details

I. General information

NPI: 1063903227
Provider Name (Legal Business Name): DONALD JOSEPH KUHL JR. CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 LIBERTY AVE
PITTSBURGH PA
15201-1323
US

IV. Provider business mailing address

3424 LIBERTY AVE
PITTSBURGH PA
15201-1323
US

V. Phone/Fax

Practice location:
  • Phone: 412-622-2020
  • Fax: 412-621-6315
Mailing address:
  • Phone: 412-622-2020
  • Fax: 412-621-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberOH000344
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPO000246
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: