Provider Demographics
NPI:1255654315
Name:DR. JANICE KUHN, LLC
Entity Type:Organization
Organization Name:DR. JANICE KUHN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CAUDILL-KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PHD
Authorized Official - Phone:402-885-7811
Mailing Address - Street 1:11635 ARBOR ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5000
Mailing Address - Country:US
Mailing Address - Phone:402-885-7811
Mailing Address - Fax:402-884-1145
Practice Address - Street 1:11635 ARBOR ST
Practice Address - Street 2:SUITE 110
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5000
Practice Address - Country:US
Practice Address - Phone:402-885-7811
Practice Address - Fax:402-884-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110513103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DTH001OtherUPIN