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General NPI Number Information
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NPI Number | 1316580186
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Entity Type | Individual
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Provider Name | COREY RAE KUHN PH. D
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Gender | Female
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 501 DELAWARE ST STE 9
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2664
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Country | US
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Telephone | 702-550-9079
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Fax | 833-334-0273
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Provider Business Mailing Address
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Address Line | 1887 WHITNEY MESA DR STE 1221
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City | HENDERSON
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State | NV
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Zip | 89014-2069
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Country | US
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Telephone | 702-550-9079
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | PY0974
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0974
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License Number State | NV
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