=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073390415
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. ERIC KUHN
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2023
-----------------------------------------------------
Last Update Date | 09/11/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 46 N MUNROE RD
-----------------------------------------------------
City | TALLMADGE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44278-2055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-630-2715
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3425 DAPPLEGRAY ST NW
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44709-1929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-409-5605
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number | 019971
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------