Provider Demographics
NPI:1740027309
Name:KUHNS, EBEN ROBERT (MS)
Entity type:Individual
Prefix:
First Name:EBEN
Middle Name:ROBERT
Last Name:KUHNS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 VOLUNTEER DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2922
Mailing Address - Country:US
Mailing Address - Phone:703-402-0984
Mailing Address - Fax:
Practice Address - Street 1:9111 VOLUNTEER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2922
Practice Address - Country:US
Practice Address - Phone:703-402-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204001410235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist