Provider Demographics
NPI:1114393733
Name:KUHAR, KRISTIN E (MS, ATC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:E
Last Name:KUHAR
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 S PLEASANT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2338
Mailing Address - Country:US
Mailing Address - Phone:574-274-7667
Mailing Address - Fax:
Practice Address - Street 1:37 S PLEASANT ST APT 2
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2338
Practice Address - Country:US
Practice Address - Phone:574-274-7667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer