1790746030 NPI number — MR. JAMES R. KUHN DPM

Table of content: MR. JAMES R. KUHN DPM (NPI 1790746030)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790746030 NPI number — MR. JAMES R. KUHN DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUHN
Provider First Name:
JAMES
Provider Middle Name:
R.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
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:
1790746030
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
153 W 151ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLATHE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66061-5300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-829-6800
Provider Business Mailing Address Fax Number:
913-829-6197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1956 NW COPPER OAKS CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLUE SPRINGS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64015-8300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-228-6995
Provider Business Practice Location Address Fax Number:
816-228-8672
Provider Enumeration Date:
03/28/2006

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: 213ES0131X , with the licence number:  12-00233 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0131X , with the licence number: 000598 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 703350 . This is a "BLUE SHIELD TOPEKA" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 703350 . This is a "BLUE SHIELD TOPEKA" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 15219036 . This is a "BLUE CROSS BLUE SHIELD MO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 15219026 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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