MEDICARE: KATELYN ELIZABETH KUHN PT

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	225100000X	Physical Therapist	2305213311	VA

General Provider Information

NPI Number	:	1932532546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN ELIZABETH KUHN PT

Provider Business Mailing Address
First Line	:	PO BOX 715868
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19171-5868
Country	:	US
Telephone Number	:	804-915-1910
Fax Number	:	301-540-5190

Provider Business Practice Location Address
First Line	:	667 KINGSBOROUGH SQ STE 300
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4999
Country	:	US
Telephone Number	:	757-422-8476
Fax Number	:	804-435-2172

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

Provider Enumeration Date	:	08/19/2013
Last Update Date	:	10/18/2022

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