Healthcare Provider Details

I. General information

NPI: 1265251003
Provider Name (Legal Business Name): ANDREW VICTOR KUHN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15110 DALLAS PKWY STE 102
DALLAS TX
75248-4601
US

IV. Provider business mailing address

3720 JUNIPERIO ST
DENTON TX
76208-1540
US

V. Phone/Fax

Practice location:
  • Phone: 972-525-8715
  • Fax:
Mailing address:
  • Phone: 641-251-4622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16198
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: