Provider Demographics
NPI:1154300598
Name:KUHNS, MARK J (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:KUHNS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1212
Mailing Address - Country:US
Mailing Address - Phone:610-262-8858
Mailing Address - Fax:610-262-7388
Practice Address - Street 1:2121 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1212
Practice Address - Country:US
Practice Address - Phone:610-262-8858
Practice Address - Fax:610-262-7388
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC0035834L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA367530OtherBS ID NUMBER FOR OFFICE
PAT27064Medicare UPIN
PA016724Medicare ID - Type UnspecifiedMEDICARE NUMBER