Provider Demographics
NPI:1508898396
Name:KUHAR, KIM P
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:P
Last Name:KUHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18962
Mailing Address - Country:US
Mailing Address - Phone:215-258-3810
Mailing Address - Fax:215-258-3815
Practice Address - Street 1:164 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:PA
Practice Address - Zip Code:18962
Practice Address - Country:US
Practice Address - Phone:215-258-3810
Practice Address - Fax:215-258-3815
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S006577L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA671407Medicare PIN
PAE85352Medicare UPIN