Provider Demographics
NPI:1972508331
Name:KUHNMUENCH, PAUL JAMES (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JAMES
Last Name:KUHNMUENCH
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 1:1560 BEAM AVENUE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1192
Mailing Address - Country:US
Mailing Address - Phone:651-773-0450
Mailing Address - Fax:651-773-0450
Practice Address - Street 1:1560 BEAM AVENUE
Practice Address - Street 2:SUITE F
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1192
Practice Address - Country:US
Practice Address - Phone:651-773-0450
Practice Address - Fax:651-773-0450
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22187207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN109266OtherUCARE
MN337M5KUOtherBLUE PLUS
MN272803600Medicaid
MNP00177011OtherRR MEDICARE
MN337M5KUOtherBLUE PLUS
MN110009987Medicare PIN