Provider Demographics
NPI:1518386051
Name:KUHLMAN, TIM (ND)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:KUHLMAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 PACIFIC AVE SE
Mailing Address - Street 2:B19
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2097
Mailing Address - Country:US
Mailing Address - Phone:360-878-8735
Mailing Address - Fax:
Practice Address - Street 1:2747 PACIFIC AVE SE
Practice Address - Street 2:B19
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2097
Practice Address - Country:US
Practice Address - Phone:360-878-8735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000843175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1699163048Medicaid