Provider Demographics
NPI:1164866323
Name:KUEHN, CHARLES E II
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:KUEHN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 MCNEESE FARM RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-7526
Mailing Address - Country:US
Mailing Address - Phone:337-478-3430
Mailing Address - Fax:337-478-3480
Practice Address - Street 1:2700 MCNEESE FARM RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-7526
Practice Address - Country:US
Practice Address - Phone:337-478-3430
Practice Address - Fax:337-478-3480
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications