Provider Demographics
NPI:1952551863
Name:KUHN MEDICAL CLINIC, LLC
Entity type:Organization
Organization Name:KUHN MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-537-8880
Mailing Address - Street 1:2240 KARISA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-6943
Mailing Address - Country:US
Mailing Address - Phone:574-537-8880
Mailing Address - Fax:574-537-8881
Practice Address - Street 1:2240 KARISA DR STE 3
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-6943
Practice Address - Country:US
Practice Address - Phone:574-537-8880
Practice Address - Fax:574-537-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-27
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040732A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty