Provider Demographics
NPI:1255679015
Name:KUHN, MITCHEL (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:MITCHEL
Middle Name:
Last Name:KUHN
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21121 CATAWBA AVE
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8207
Mailing Address - Country:US
Mailing Address - Phone:704-896-7571
Mailing Address - Fax:704-896-7471
Practice Address - Street 1:21121 CATAWBA AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8207
Practice Address - Country:US
Practice Address - Phone:704-896-7571
Practice Address - Fax:704-896-7471
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor