Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | PA9110776 | FL |
NPI | 1669983045 |
---|---|
Provider Name | Kaitlin Joy Kuehne |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32827-7884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2017 |
Last Update Date | 28/04/2021 |