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NPI Code Detail

MEDICARE: EVAN R KUHN O.D.

MEDICARE: EVAN R KUHN O.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
1152W00000XOptometrist046010093IL
2152W00000XOptometrist3127MN

General Provider Information

NPI Number : 1568611622
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN R KUHN O.D.
Provider Business Mailing Address
First Line : 7295 GLORY RD
Second Line :
City : BAXTER
State : MN
Zip : 56425-7308
Country : US
Telephone Number : 218-829-3848
Fax Number :
Provider Business Practice Location Address
First Line : 7295 GLORY RD
Second Line :
City : BAXTER
State : MN
Zip : 56425-7308
Country : US
Telephone Number : 218-829-3848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 05/11/2021

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