Provider Demographics
NPI:1073702809
Name:JOSEPH M. KUHN, D.O., INC.
Entity Type:Organization
Organization Name:JOSEPH M. KUHN, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:419-263-2947
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:
Mailing Address - City:PAYNE
Mailing Address - State:OH
Mailing Address - Zip Code:45880-0529
Mailing Address - Country:US
Mailing Address - Phone:419-263-2947
Mailing Address - Fax:419-263-2515
Practice Address - Street 1:301 S. MAIN ST.,
Practice Address - Street 2:
Practice Address - City:PAYNE
Practice Address - State:OH
Practice Address - Zip Code:45880-0000
Practice Address - Country:US
Practice Address - Phone:419-263-2947
Practice Address - Fax:419-263-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-004322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSP01371OtherPTAN
OH0705179Medicaid
OH0705179Medicaid