Provider Demographics
NPI:1578097473
Name:KUHN, ANDREW
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KUHN
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 1:410 S MORGAN ST
Mailing Address - Street 2:UNIT 513 C
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3529
Mailing Address - Country:US
Mailing Address - Phone:312-683-6933
Mailing Address - Fax:
Practice Address - Street 1:410 S MORGAN ST
Practice Address - Street 2:UNIT 513 C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3529
Practice Address - Country:US
Practice Address - Phone:312-683-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY572492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program