Provider Demographics
NPI:1811901408
Name:KUHN, KENNETH M (OD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:M
Last Name:KUHN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ROBBINS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-1769
Mailing Address - Country:US
Mailing Address - Phone:330-574-5030
Mailing Address - Fax:330-574-5036
Practice Address - Street 1:234 ROBBINS AVE STE C
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-1769
Practice Address - Country:US
Practice Address - Phone:330-574-5030
Practice Address - Fax:330-574-5036
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4118/T307152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0754036Medicaid
OH0754036Medicaid
OHKU0711551Medicare ID - Type Unspecified
OHU29622Medicare UPIN