Provider Demographics
NPI:1750115002
Name:KUHN, MADISON
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CROMWELL ST
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1578
Mailing Address - Country:US
Mailing Address - Phone:517-420-3206
Mailing Address - Fax:
Practice Address - Street 1:1310 TURNER ST STE A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-4373
Practice Address - Country:US
Practice Address - Phone:517-574-4197
Practice Address - Fax:517-484-1771
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health