MEDICARE: MRS. HEATHER DAWN KUHNS ED.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OH411193	OH

General Provider Information

NPI Number	:	1003274051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER DAWN KUHNS ED.S.

Provider Business Mailing Address
First Line	:	3473 CHURCHILL DOWNS
Second Line	:
City	:	STOW
State	:	OH
Zip	:	44224-5808
Country	:	US
Telephone Number	:	330-714-8914
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 PORTAGE ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2737
Country	:	US
Telephone Number	:	330-497-5665
Fax Number	:	330-305-2056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2016
Last Update Date	:	02/05/2016

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