Provider Demographics
NPI:1235845678
Name:KUEHL, JAMES EDWARD III (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:KUEHL
Suffix:III
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 40TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-2728
Mailing Address - Country:US
Mailing Address - Phone:806-787-1464
Mailing Address - Fax:
Practice Address - Street 1:3510 4TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3329
Practice Address - Country:US
Practice Address - Phone:806-472-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109461104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker