Provider Demographics
NPI:1568151744
Name:KUHNS, COLAR
Entity Type:Individual
Prefix:
First Name:COLAR
Middle Name:
Last Name:KUHNS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 CADENZA LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6200
Mailing Address - Country:US
Mailing Address - Phone:301-518-2021
Mailing Address - Fax:
Practice Address - Street 1:US ARMY DENTAC FT CAVAZOS
Practice Address - Street 2:36000 SHOEMAKER LN, STE 1051
Practice Address - City:FT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-287-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39893122300000X
MO2023020450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty