Provider Demographics
NPI:1093905523
Name:KUHN, KRISTINE R (PA)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:R
Last Name:KUHN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 ALEXANDER SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-6953
Mailing Address - Country:US
Mailing Address - Phone:717-245-2228
Mailing Address - Fax:717-245-0806
Practice Address - Street 1:241 ALEXANDER SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-6953
Practice Address - Country:US
Practice Address - Phone:717-245-2228
Practice Address - Fax:717-245-0806
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053203363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034415670001Medicaid