Healthcare Provider Details

I. General information

NPI: 1912681495
Provider Name (Legal Business Name): CODY LEE KUHEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 LEONARD AVE
WASHINGTON PA
15301-3368
US

IV. Provider business mailing address

95 LEONARD AVE
WASHINGTON PA
15301-3368
US

V. Phone/Fax

Practice location:
  • Phone: 724-223-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT022644
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: