Basic Information
Provider Information
NPI: 1780662569
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUHLS
FirstName: DEBORAH
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1701 W CHARLESTON BLVD
Address2: #215
City: LAS VEGAS
State: NV
PostalCode: 891022325
CountryCode: US
TelephoneNumber: 7026712395
FaxNumber: 7023825388
Practice Location
Address1: 1707 W CHARLESTON BLVD
Address2: #160
City: LAS VEGAS
State: NV
PostalCode: 891022351
CountryCode: US
TelephoneNumber: 7026715150
FaxNumber: 7023846493
Other Information
ProviderEnumerationDate: 01/03/2006
LastUpdateDate: 12/23/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102X9489NVY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

ID Information
IDTypeStateIssuerDescription
00201851205NV MEDICAID
BK687398001NVDEAOTHER
CS1017801NVPHARMACY/CDSOTHER


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