Provider Demographics
NPI:1699012849
Name:KENNETH M KUHN OD INC
Entity type:Organization
Organization Name:KENNETH M KUHN OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:MARLIN
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-544-0909
Mailing Address - Street 1:234 ROBBINS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-1769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 ROBBINS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-1769
Practice Address - Country:US
Practice Address - Phone:330-544-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0668650001Medicare NSC