Healthcare Provider Details

I. General information

NPI: 1942482435
Provider Name (Legal Business Name): KATIE L KUHN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE L RUEDINGER PHARM.D.

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 BOWEN ST
OSHKOSH WI
54901-2013
US

IV. Provider business mailing address

2101 BOWEN ST
OSHKOSH WI
54901-2013
US

V. Phone/Fax

Practice location:
  • Phone: 920-303-5006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15080-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: