Healthcare Provider Details

I. General information

NPI: 1366549057
Provider Name (Legal Business Name): TIMOTHY M KUHN AUD CCCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 SCHOFIELD AVE. STE. 106
SCHOFIELD WI
54476-9998
US

IV. Provider business mailing address

1699 SCHOFIELD AVE. STE. 106
SCHOFIELD WI
54476-9998
US

V. Phone/Fax

Practice location:
  • Phone: 715-298-5511
  • Fax: 715-298-5510
Mailing address:
  • Phone: 715-298-5511
  • Fax: 715-298-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number273
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: