Provider Demographics
NPI:1922042969
Name:KUHL, KERRIE (CNM)
Entity Type:Individual
Prefix:
First Name:KERRIE
Middle Name:
Last Name:KUHL
Suffix:
Gender:F
Credentials:CNM
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 848997
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-8997
Mailing Address - Country:US
Mailing Address - Phone:970-569-7750
Mailing Address - Fax:970-569-7756
Practice Address - Street 1:322 BEARD CREEK RD
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:970-569-7750
Practice Address - Fax:970-569-7756
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2672176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO31252761Medicaid
CO502048Medicare ID - Type Unspecified
CO31252761Medicaid