Provider Demographics
NPI:1902012685
Name:KUHN, SUZANNAH (NP)
Entity Type:Individual
Prefix:
First Name:SUZANNAH
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-4634
Mailing Address - Country:US
Mailing Address - Phone:765-854-2440
Mailing Address - Fax:765-854-2450
Practice Address - Street 1:117 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-4634
Practice Address - Country:US
Practice Address - Phone:765-854-2440
Practice Address - Fax:765-854-2450
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000131A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner