Provider Demographics
NPI:1003187733
Name:P DENIS KUEHNER D O P A
Entity Type:Organization
Organization Name:P DENIS KUEHNER D O P A
Other - Org Name:SAN CAP MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-472-0700
Mailing Address - Street 1:4301 SANIBEL CAPTIVA RD
Mailing Address - Street 2:
Mailing Address - City:SANIBEL
Mailing Address - State:FL
Mailing Address - Zip Code:33957-3046
Mailing Address - Country:US
Mailing Address - Phone:239-472-0700
Mailing Address - Fax:239-472-0855
Practice Address - Street 1:4301 SANIBEL CAPTIVA RD
Practice Address - Street 2:
Practice Address - City:SANIBEL
Practice Address - State:FL
Practice Address - Zip Code:33957-3046
Practice Address - Country:US
Practice Address - Phone:239-472-0700
Practice Address - Fax:239-472-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7881207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46570OtherMEDICARE
FL46570OtherMEDICARE