Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 32725 | SC |
NPI | 1356662704 |
---|---|
Provider Name | James Lee Kuhlen JR. |
First Address | Greenville, SC 29607-2778 |
Second Address | Greenville, SC 29607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 18/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
327257 | (05) | SC |
SC59977951 | (02) | SC |