Healthcare Provider Details

I. General information

NPI: 1992145882
Provider Name (Legal Business Name): MICHAEL A KUHN MSW LGSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 NATIONAL RD
WHEELING WV
26003-5370
US

IV. Provider business mailing address

2606 NATIONAL RD
WHEELING WV
26003-5370
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-7060
  • Fax: 304-845-3064
Mailing address:
  • Phone: 304-242-7060
  • Fax: 304-845-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBP00944177
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: