Healthcare Provider Details

I. General information

NPI: 1184992208
Provider Name (Legal Business Name): NIEL KUHNER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2011
Last Update Date: 12/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N STATE ST
PROVO UT
84604-2416
US

IV. Provider business mailing address

2984 WINTERTON RD
HEBER CITY UT
84032-3935
US

V. Phone/Fax

Practice location:
  • Phone: 801-616-5223
  • Fax:
Mailing address:
  • Phone: 801-680-6738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number268392-1701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01875100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: