Provider Demographics
NPI:1740700426
Name:KUEHN, MELANIE ANN (LAC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANN
Last Name:KUEHN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5150 S CALLE ENCINA
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-8972
Mailing Address - Country:US
Mailing Address - Phone:520-226-5006
Mailing Address - Fax:520-226-5006
Practice Address - Street 1:5150 S CALLE ENCINA
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-8972
Practice Address - Country:US
Practice Address - Phone:520-226-5006
Practice Address - Fax:520-226-5006
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0895171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist