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NPI Code Detail

MEDICARE: RUSSELL ALLEN KUHL P.T.

MEDICARE: RUSSELL ALLEN KUHL P.T.
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
1225100000XPhysical Therapist1999NE

Other Identifiers

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

General Provider Information

NPI Number : 1568495992
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL ALLEN KUHL P.T.
Provider Business Mailing Address
First Line : 3211 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2473
Country : US
Telephone Number : 402-564-5456
Fax Number :
Provider Business Practice Location Address
First Line : 3211 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2473
Country : US
Telephone Number : 402-564-5456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 05/06/2013

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