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General NPI Number Information
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NPI Number | 1194963124
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Entity Type | Organization
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Legal Business Name | KENNETH M KUHN OD INC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 133 BOARDMAN POLAND RD
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City | BOARDMAN
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State | OH
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Zip | 44512-4605
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Country | US
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Telephone | 330-726-7124
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Fax | 330-726-9946
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Provider Business Mailing Address
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Address Line | 133 BOARDMAN POLAND RD
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City | BOARDMAN
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State | OH
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Zip | 44512-4605
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Country | US
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Telephone | 330-726-7124
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Fax | 330-726-9946
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH M KUHN
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Credential | O D
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Telephone | 330-726-7124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4118/T307
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License Number State | OH
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