Healthcare Provider Details

I. General information

NPI: 1871239327
Provider Name (Legal Business Name): CRAIG KUHAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/09/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 WALLACE RD BLDG C
NASHVILLE TN
37211-4854
US

IV. Provider business mailing address

3022 ALAN DR
SPRING HILL TN
37174-1219
US

V. Phone/Fax

Practice location:
  • Phone: 615-777-0624
  • Fax:
Mailing address:
  • Phone: 740-359-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC0000003398
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0000003398
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: