Provider Demographics
NPI:1811979537
Name:KUHN, WOLFGANG FRIEDRICH (MD)
Entity type:Individual
Prefix:DR
First Name:WOLFGANG
Middle Name:FRIEDRICH
Last Name:KUHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2100 GARDINER LN
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2962
Mailing Address - Country:US
Mailing Address - Phone:502-459-5500
Mailing Address - Fax:502-459-5583
Practice Address - Street 1:2100 GARDINER LN
Practice Address - Street 2:SUITE 215
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2962
Practice Address - Country:US
Practice Address - Phone:502-459-5500
Practice Address - Fax:502-459-5583
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY209032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYAK9432458OtherDEA NUMBER
KYAK9432458OtherDEA NUMBER
KY1424001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER