Provider Demographics
NPI:1508099425
Name:KUHN, YVONNE VICTORIA (PA-C)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:VICTORIA
Last Name:KUHN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:LUNEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3095 KETTERING BLVD
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1983
Mailing Address - Country:US
Mailing Address - Phone:937-293-8300
Mailing Address - Fax:937-534-1353
Practice Address - Street 1:3095 KETTERING BLVD
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1983
Practice Address - Country:US
Practice Address - Phone:937-293-8300
Practice Address - Fax:937-534-1353
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50-002758363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0104868Medicaid
OHPA34261Medicare PIN
OHP01330584Medicare PIN