Healthcare Provider Details

I. General information

NPI: 1306881776
Provider Name (Legal Business Name): RUPERT EUGENE KUHNE III MDIV EDS PSYD LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TREY KUHNE MDIV EDS PSYD LMFT

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 DUPRE DR
SPARTANBURG SC
29307
US

IV. Provider business mailing address

400 DUPRE DR
SPARTANBURG SC
29307
US

V. Phone/Fax

Practice location:
  • Phone: 864-542-3019
  • Fax: 864-278-2082
Mailing address:
  • Phone: 864-542-3019
  • Fax: 864-278-2082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4481
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: