Healthcare Provider Details

I. General information

NPI: 1639654122
Provider Name (Legal Business Name): MARY LOUISE KUHN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 03/27/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25228 LANKFORD HWY
ONLEY VA
23418
US

IV. Provider business mailing address

403 S BARFIELD DR
MARCO ISLAND FL
34145-5154
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-1465
  • Fax:
Mailing address:
  • Phone: 814-440-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9316711
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP027758
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: