MEDICARE: MAUREEN PONS KUHRT M.D.

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	208600000X	Surgery Physician	01073721A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215135942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN PONS KUHRT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 13059
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4021
Country	:	US
Telephone Number	:	812-485-1220
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 BELLEMEADE AVE
Second Line	:	STE 110
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-0111
Country	:	US
Telephone Number	:	812-485-7330
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	03/23/2016

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