Provider Demographics
NPI:1003816406
Name:KUEHNE, STEPHEN E (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:E
Last Name:KUEHNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 7366
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56302-7366
Mailing Address - Country:US
Mailing Address - Phone:320-257-5595
Mailing Address - Fax:320-257-5596
Practice Address - Street 1:1990 CONNECTICUT AVE S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2554
Practice Address - Country:US
Practice Address - Phone:320-257-5595
Practice Address - Fax:320-257-5596
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN365952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN16-29611OtherMEDICA
MNHP25469OtherHEALTH PARTNERS
MN106434C561OtherUCARE OF MINNESOTA
MN176310OtherSTATE OF WASHINGTON-LABOR
MN372365800Medicaid
MN965251008767OtherPREFERRED ONE
MN2M314KUOtherBLUE CROSS BLUE SHIELD
MN300039118OtherRAILROAD MEDICARE
MN411772562OtherGREATWEST HEALTHCARE
MN26647OtherARAZ/ AMERICA'S PPO
MN965251008767OtherPREFERRED ONE
MN309000575Medicare ID - Type Unspecified