MEDICARE: MS. SANDRA KAY KUHN WHNP

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	363LW0102X	Women's Health Nurse Practitioner	520716	TX
2	363LW0102X	Women's Health Nurse Practitioner	AP2950	AZ

General Provider Information

NPI Number	:	1821083536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA KAY KUHN WHNP

Provider Business Mailing Address
First Line	:	4175 S ALAMO AVE
Second Line	:	BLDG 400
City	:	DAVIS MONTHAN AFB
State	:	AZ
Zip	:	85707
Country	:	US
Telephone Number	:	520-228-2665
Fax Number	:	520-228-2185

Provider Business Practice Location Address
First Line	:	4175 S ALAMO AVE
Second Line	:	BLDG 400
City	:	DAVIS MONTHAN AFB
State	:	AZ
Zip	:	85707
Country	:	US
Telephone Number	:	520-228-2665
Fax Number	:	520-228-2185

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	03/25/2008

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