Healthcare Provider Details

I. General information

NPI: 1356662704
Provider Name (Legal Business Name): JAMES LEE KUHLEN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 WOODS LAKE RD
GREENVILLE SC
29607
US

IV. Provider business mailing address

534 WOODS LAKE RD
GREENVILLE SC
29607-2778
US

V. Phone/Fax

Practice location:
  • Phone: 864-720-2739
  • Fax: 864-720-2740
Mailing address:
  • Phone: 864-720-2739
  • Fax: 864-720-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number32725
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: