Provider Demographics
NPI:1326269960
Name:DOUGLAS, MARILYN KUHEL (DNSC, RN, FAAN)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:KUHEL
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:DNSC, RN, FAAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MACLANE STREET
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3303
Mailing Address - Country:US
Mailing Address - Phone:650-856-8393
Mailing Address - Fax:650-843-0588
Practice Address - Street 1:360 MACLANE STREET
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3303
Practice Address - Country:US
Practice Address - Phone:650-856-8393
Practice Address - Fax:650-843-0588
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 2922591744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study