Provider Demographics
NPI:1598767485
Name:KUHN, FORREST SAUNDERS JR (MD)
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:SAUNDERS
Last Name:KUHN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 S. DUPONT SQUARE STE A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-896-2131
Mailing Address - Fax:502-896-0345
Practice Address - Street 1:3900 S. DUPONT SQUARE STE A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-896-2131
Practice Address - Fax:502-896-0345
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16795207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64167950Medicaid
KY1165301Medicare PIN