Healthcare Provider Details

I. General information

NPI: 1023304276
Provider Name (Legal Business Name): ERIN MARIE KUH RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12929 E SPRAGUE AVE SUITE 104
SPOKANE VALLEY WA
99216-0721
US

IV. Provider business mailing address

12929 E SPRAGUE AVE SUITE 104
SPOKANE VALLEY WA
99216-0721
US

V. Phone/Fax

Practice location:
  • Phone: 509-496-9998
  • Fax: 509-891-2368
Mailing address:
  • Phone: 509-496-9998
  • Fax: 509-891-2368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: