MEDICARE: MATTHEW L KUHL NRP

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	146L00000X	Paramedic	742805	TX

General Provider Information

NPI Number	:	1265156178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW L KUHL NRP

Provider Business Mailing Address
First Line	:	5872 OLD JACKSONVILLE HWY APT 836
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0622
Country	:	US
Telephone Number	:	508-525-3501
Fax Number	:

Provider Business Practice Location Address
First Line	:	5872 OLD JACKSONVILLE HWY APT 836
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-0622
Country	:	US
Telephone Number	:	508-525-3501
Fax Number	:

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

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

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