Provider Demographics
NPI:1316405095
Name:KUHN, MARY JEFFERY
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:JEFFERY
Last Name:KUHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6693 BRENDEN CT
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-7560
Mailing Address - Country:US
Mailing Address - Phone:612-202-7937
Mailing Address - Fax:
Practice Address - Street 1:6693 BRENDEN CT
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-7560
Practice Address - Country:US
Practice Address - Phone:612-202-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator