Provider Demographics
NPI:1417928755
Name:KUHN, KURT W (DC, PHD, MS-ACP)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:W
Last Name:KUHN
Suffix:
Gender:M
Credentials:DC, PHD, MS-ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-2845
Mailing Address - Country:US
Mailing Address - Phone:319-236-1000
Mailing Address - Fax:319-234-7822
Practice Address - Street 1:1125 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-2845
Practice Address - Country:US
Practice Address - Phone:319-236-1000
Practice Address - Fax:319-234-7822
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA5014111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1144386Medicaid
IA0247957Medicaid
IA43601OtherWELLMARK ID
IAI5338Medicare ID - Type UnspecifiedINDIVIDUAL ID
IA1144386Medicaid
IAT67265Medicare UPIN