Healthcare Provider Details

I. General information

NPI: 1790104230
Provider Name (Legal Business Name): PREETA KUHLMAN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2747 PACIFIC AVE SE SUITE B19
OLYMPIA WA
98501-2097
US

IV. Provider business mailing address

2747 PACIFIC AVE SE SUITE B19
OLYMPIA WA
98501-2097
US

V. Phone/Fax

Practice location:
  • Phone: 360-878-8735
  • Fax: 360-663-4402
Mailing address:
  • Phone: 360-878-8735
  • Fax: 360-663-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000775
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: