Provider Demographics
NPI:1568447126
Name:KUHN, JAMES R (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:KUHN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7685 STARMONT CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9565
Mailing Address - Country:US
Mailing Address - Phone:614-804-9877
Mailing Address - Fax:
Practice Address - Street 1:7685 STARMONT CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9565
Practice Address - Country:US
Practice Address - Phone:614-804-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5000714363AS0400X
OH50000714363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH970024810OtherRR MEDICARE
OH000000287028OtherANTHEM
OHKUPA10952Medicare ID - Type UnspecifiedRIVERSIDE MEDICARE
OH3600111Medicare PIN