Provider Demographics
NPI:1356349617
Name:KUHN, CHARMIN MARIE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:CHARMIN
Middle Name:MARIE
Last Name:KUHN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8765 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-9583
Mailing Address - Country:US
Mailing Address - Phone:734-847-3802
Mailing Address - Fax:734-847-3418
Practice Address - Street 1:130 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:CARLETON
Practice Address - State:MI
Practice Address - Zip Code:48117-9461
Practice Address - Country:US
Practice Address - Phone:734-654-2169
Practice Address - Fax:734-654-2535
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101155363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1356349617Medicaid
FL291195700Medicaid
MI02214OtherPARAMOUNT
MI231956Medicare Oscar/Certification
MI231957Medicare Oscar/Certification
MIE86031035Medicare PIN
FLE3674ZMedicare PIN
MI231807Medicare Oscar/Certification