Provider Demographics
NPI:1104015841
Name:KUEHN, TRACY ANN (RN,BS,CDE)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN
Last Name:KUEHN
Suffix:
Gender:F
Credentials:RN,BS,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NORTHERN BOULEVARD
Mailing Address - Street 2:ALBANY MEMORIAL HOSPITAL, DIABETES CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204
Mailing Address - Country:US
Mailing Address - Phone:518-447-3505
Mailing Address - Fax:518-447-3586
Practice Address - Street 1:600 NORTHERN BOULEVARD
Practice Address - Street 2:ALBANY MEMORIAL HOSPITAL
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204
Practice Address - Country:US
Practice Address - Phone:518-447-3505
Practice Address - Fax:518-447-3586
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY497186163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator