Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2060 | OH |
N | 103T00000X | Psychologist | 2060 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 2060 | OH |
NPI | 1194721910 |
---|---|
Provider Name | Daniel J Kuna |
First Address | Toledo, OH 43615-7364 |
Second Address | Toledo, OH 43615-7364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000503820 | ANTHEM BC (01) | OH |
0375295 | (05) | OH |
211929 | TRICARE CHAMPUS (01) | OH |
4062384 | AETNA (01) | OH |
P00346835 | RR MEDICARE (01) | OH |
R71260 | (02) | OH |