Provider Demographics
NPI:1245336627
Name:KUHLMAN, BRYAN JEFFREY
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:JEFFREY
Last Name:KUHLMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2558 N SQUIRREL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2383
Mailing Address - Country:US
Mailing Address - Phone:248-340-1100
Mailing Address - Fax:248-340-1101
Practice Address - Street 1:2558 N SQUIRREL RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2383
Practice Address - Country:US
Practice Address - Phone:248-340-1100
Practice Address - Fax:248-340-1101
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010119872251X0800X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA650E018520OtherBLUE CROSS BLUE SHIELD OF