Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 004982 | CT |
N | 363LN0000X | Nurse Practitioner - Neonatal | 004982 | CT |
NPI | 1154724599 |
---|---|
Provider Name | Joan E Kuhnly |
First Address | Hartford, CT 06102-5037 |
Second Address | Hartford, CT 06102-5037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2014 |
Last Update Date | 11/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004982 | CT LICENSE (01) | CT |