Provider Demographics
NPI:1720174220
Name:KUHN, ROBERTA PURDUE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:PURDUE
Last Name:KUHN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3405
Mailing Address - Country:US
Mailing Address - Phone:810-985-6311
Mailing Address - Fax:810-985-3288
Practice Address - Street 1:1227 10TH AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3405
Practice Address - Country:US
Practice Address - Phone:810-985-6311
Practice Address - Fax:810-985-3288
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor