Provider Demographics
NPI:1073869319
Name:KUHN, JAMIE NICOLE (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:NICOLE
Last Name:KUHN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:560 E CONTINENTAL RD
Mailing Address - Street 2:UNIT 104
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-1825
Mailing Address - Country:US
Mailing Address - Phone:623-806-7270
Mailing Address - Fax:623-806-7210
Practice Address - Street 1:5865 W. UTOPIA RD.
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-806-7270
Practice Address - Fax:623-806-7210
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2737152W00000X
AZ1915152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management