Provider Demographics
NPI:1003325374
Name:KOS SPANISH FORK LLC
Entity Type:Organization
Organization Name:KOS SPANISH FORK LLC
Other - Org Name:KUHNI ORHTODONTIC STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHNI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MSD
Authorized Official - Phone:801-798-6000
Mailing Address - Street 1:948 N 200 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1247
Mailing Address - Country:US
Mailing Address - Phone:801-798-6000
Mailing Address - Fax:
Practice Address - Street 1:948 N 200 E
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660
Practice Address - Country:US
Practice Address - Phone:801-361-3926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10294158-9921261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental