1396817177 NPI number — DR. RICHARD MARTIN KUHNS III D.C.

Table of content: DR. RICHARD MARTIN KUHNS III D.C. (NPI 1396817177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396817177 NPI number — DR. RICHARD MARTIN KUHNS III D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUHNS
Provider First Name:
RICHARD
Provider Middle Name:
MARTIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
III
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396817177
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6415 BROOKSTONE LANE
Provider Second Line Business Mailing Address:
SUITE102
Provider Business Mailing Address City Name:
FAYETTEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28314-2101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-867-1612
Provider Business Mailing Address Fax Number:
910-867-2129

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6415 BROOKSTONE LN
Provider Second Line Business Practice Location Address:
SUITE102
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28314-0074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-867-1612
Provider Business Practice Location Address Fax Number:
910-867-2129
Provider Enumeration Date:
11/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2888 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 890848Y , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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