Provider Demographics
NPI:1679545271
Name:KUHN, ANDREW L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:L
Last Name:KUHN
Suffix:
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:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:WAKARUSA
Mailing Address - State:IN
Mailing Address - Zip Code:46573-0545
Mailing Address - Country:US
Mailing Address - Phone:574-537-8880
Mailing Address - Fax:574-537-8881
Practice Address - Street 1:121 E WATERFORD ST
Practice Address - Street 2:
Practice Address - City:WAKARUSA
Practice Address - State:IN
Practice Address - Zip Code:46573-2007
Practice Address - Country:US
Practice Address - Phone:574-537-8880
Practice Address - Fax:574-537-8881
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040732A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100364560Medicaid
IN100364560Medicaid
IN184520HMedicare ID - Type Unspecified