Provider Demographics
NPI:1730128851
Name:KUHN, JERALD P (MD)
Entity Type:Individual
Prefix:
First Name:JERALD
Middle Name:P
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 1:905 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1066
Mailing Address - Country:US
Mailing Address - Phone:716-825-1398
Mailing Address - Fax:716-825-3834
Practice Address - Street 1:1275 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2412
Practice Address - Country:US
Practice Address - Phone:716-883-3333
Practice Address - Fax:716-883-6000
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0921902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1602460OtherINDEPENDENT HEALTH
NY00796745Medicaid
NY00011177101OtherUNIVERA HEALTHCARE
NY000502409001OtherBLUE CROSS OF WESTERN NY
NY000502409001OtherBLUE CROSS OF WESTERN NY
NY00011177101OtherUNIVERA HEALTHCARE