Provider Demographics
NPI:1457635831
Name:KUHNLE, JODY LEE (MS, RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JODY
Middle Name:LEE
Last Name:KUHNLE
Suffix:
Gender:F
Credentials:MS, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:809 BROOKE VALLEY TRCE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5931
Mailing Address - Country:US
Mailing Address - Phone:915-443-2745
Mailing Address - Fax:
Practice Address - Street 1:105 KEETON DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8756
Practice Address - Country:US
Practice Address - Phone:270-887-6565
Practice Address - Fax:270-887-6575
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX747350163W00000X, 363LP0200X
TN22551363LP0200X
KY3018756363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12902OtherRX AUTHORIZATION NUMBER