Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1151 | MN |
NPI | 1003010810 |
---|---|
Provider Name | Dr. James Kuehl |
First Address | Hutchinson, MN 55350-1603 |
Second Address | Hutchinson, MN 55350-1603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3D033KU | BLUE CROSS BLUE SHIELD (01) | MN |
53204KU | BCBS (01) | MN |