Provider Demographics
NPI:1013122472
Name:KUHLMANN, JIM L (OD)
Entity Type:Individual
Prefix:DR
First Name:JIM
Middle Name:L
Last Name:KUHLMANN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8150 E DOUGLAS AVE
Mailing Address - Street 2:#50
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2362
Mailing Address - Country:US
Mailing Address - Phone:316-681-0991
Mailing Address - Fax:316-681-9931
Practice Address - Street 1:8150 E DOUGLAS AVE
Practice Address - Street 2:#50
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2362
Practice Address - Country:US
Practice Address - Phone:316-681-0991
Practice Address - Fax:316-681-9931
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS935-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST80112Medicare UPIN
KS005114Medicare ID - Type Unspecified