Provider Demographics
NPI:1558422550
Name:KUHN, IVY FENTON (APRN, BC)
Entity Type:Individual
Prefix:
First Name:IVY
Middle Name:FENTON
Last Name:KUHN
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1117
Mailing Address - Country:US
Mailing Address - Phone:215-545-2074
Mailing Address - Fax:215-545-2074
Practice Address - Street 1:THE CHILDREN'S HOSPITAL OF PHILADELPHIA-ARC
Practice Address - Street 2:3RD FLOOR WOOD 34TH & CIVIC CENTER BLVD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-4069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009235163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics