Healthcare Provider Details

I. General information

NPI: 1831010297
Provider Name (Legal Business Name): CHARLES MCKUHN DR.V.H
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 E SHELBY DR
MEMPHIS TN
38118-7191
US

IV. Provider business mailing address

3150 E SHELBY DR
MEMPHIS TN
38118-7191
US

V. Phone/Fax

Practice location:
  • Phone: 901-520-1426
  • Fax: 901-520-1426
Mailing address:
  • Phone: 901-520-1426
  • Fax: 901-520-1426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: