=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639537665
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KUHN ENTERPRISES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2016
-----------------------------------------------------
Last Update Date | 02/04/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5546 S FORT APACHE RD STE 100B
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89148-7693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-798-4778
-----------------------------------------------------
Fax | 702-798-4779
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5546 S FORT APACHE RD STE 100B
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89148-7693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-798-4778
-----------------------------------------------------
Fax | 702-798-4779
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. TIMOTHY KUHN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-798-4778
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | NV 1544
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------