Provider Demographics
NPI:1831371319
Name:KUHN CHIROPRACTIC, PC
Entity type:Organization
Organization Name:KUHN CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PHD, MS-ACP
Authorized Official - Phone:319-236-1000
Mailing Address - Street 1:1125 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-2845
Mailing Address - Country:US
Mailing Address - Phone:319-236-1000
Mailing Address - Fax:319-234-7822
Practice Address - Street 1:1125 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-2845
Practice Address - Country:US
Practice Address - Phone:319-236-1000
Practice Address - Fax:319-234-7822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
43601OtherWELLMARK ID
I5336OtherMEDICARE GROUP ID
IA0247957Medicaid
IA1144386Medicaid
IA0247957Medicaid
43601OtherWELLMARK ID