Provider Demographics
NPI:1497771257
Name:KUHN, COURTNEY LEONARD (RPA-C)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LEONARD
Last Name:KUHN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAMARONECK AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1635
Mailing Address - Country:US
Mailing Address - Phone:914-686-0111
Mailing Address - Fax:914-686-8964
Practice Address - Street 1:600 MAMARONECK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1635
Practice Address - Country:US
Practice Address - Phone:914-686-0111
Practice Address - Fax:914-686-8964
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006700363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS79074Medicare UPIN