Healthcare Provider Details

I. General information

NPI: 1144467663
Provider Name (Legal Business Name): MICHAEL PAUL KUHNS M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 10/03/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10513 JUDICIAL DR STE 101
FAIRFAX VA
22030-7528
US

IV. Provider business mailing address

10513 JUDICIAL DR STE 101
FAIRFAX VA
22030-7528
US

V. Phone/Fax

Practice location:
  • Phone: 703-348-0732
  • Fax:
Mailing address:
  • Phone: 703-348-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: