Provider Demographics
NPI:1619949260
Name:KUHNS, STACEY J (MD)
Entity Type:Individual
Prefix:DR
First Name:STACEY
Middle Name:J
Last Name:KUHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 SCHUYLKILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1879
Mailing Address - Country:US
Mailing Address - Phone:610-935-4745
Mailing Address - Fax:610-935-4748
Practice Address - Street 1:267 SCHUYLKILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1879
Practice Address - Country:US
Practice Address - Phone:610-935-4745
Practice Address - Fax:610-935-4748
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032147E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001713217Medicaid
PA073672N84Medicare ID - Type Unspecified
PA001713217Medicaid