Provider Demographics
NPI:1053489385
Name:KUEHNE, LILY M (DC)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:M
Last Name:KUEHNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 WOLF ST.
Mailing Address - Street 2:P.O. BOX 2979
Mailing Address - City:KINGS BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:96143-2979
Mailing Address - Country:US
Mailing Address - Phone:530-546-8201
Mailing Address - Fax:530-546-8205
Practice Address - Street 1:695 WOLF ST.
Practice Address - Street 2:
Practice Address - City:KINGS BEACH
Practice Address - State:CA
Practice Address - Zip Code:96143-2979
Practice Address - Country:US
Practice Address - Phone:530-546-8201
Practice Address - Fax:530-546-8205
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor