Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 5014 | IA |
NPI | 1417928755 |
---|---|
Provider Name | Dr. Kurt W Kuhn |
First Address | Waterloo, IA 50702-2845 |
Second Address | Waterloo, IA 50702-2845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 20/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0247957 | (05) | IA |
1144386 | (05) | IA |
43601 | WELLMARK ID (01) | IA |
T67265 | (02) | IA |