Basic Information
Provider Information
NPI: 1679571905
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUHL
FirstName: AMBER
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1680
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257171680
CountryCode: US
TelephoneNumber: 3047815159
FaxNumber: 3045238115
Practice Location
Address1: 3377 US ROUTE 60
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257052837
CountryCode: US
TelephoneNumber: 3043993310
FaxNumber: 3045235416
Other Information
ProviderEnumerationDate: 07/11/2005
LastUpdateDate: 12/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X21703WVY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
381000079605WV MEDICAID


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