Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 54906 | CT |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 54906 | CT |
NPI | 1063525509 |
---|---|
Provider Name | Dr. Michael A Kuhn |
First Address | Middletown, CT 06457-4788 |
Second Address | Middletown, CT 06457-4788 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 20/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306054309 | (05) | CT |