Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 35.142103 | OH |
NPI | 1285167700 |
---|---|
Provider Name | Gina Josette Kuehn |
First Address | Rochester, NY 14620-2664 |
Second Address | Rochester, NY 14620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2017 |
Last Update Date | 20/05/2021 |