Provider Demographics
NPI:1346819810
Name:KUHL, ANGELINA JOSEPHINE (RN)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:JOSEPHINE
Last Name:KUHL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W MICHIGAN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3735
Mailing Address - Country:US
Mailing Address - Phone:269-808-5336
Mailing Address - Fax:
Practice Address - Street 1:200 W MICHIGAN AVE STE 103
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3735
Practice Address - Country:US
Practice Address - Phone:269-808-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704248517163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse