Provider Demographics
NPI:1316580186
Name:KUHN, COREY RAE (PH D)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:RAE
Last Name:KUHN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 PLAZA DEL GRANDE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4028
Mailing Address - Country:US
Mailing Address - Phone:702-550-9079
Mailing Address - Fax:
Practice Address - Street 1:2316 PLAZA DEL GRANDE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4028
Practice Address - Country:US
Practice Address - Phone:702-550-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0974103TE1100X, 103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports