Basic Information
| Provider Information | |||||||||
| NPI: | 1952375131 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KUHN | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 954 W STATE STREET | ||||||||
| Address2: | |||||||||
| City: | SYCAMORE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8158959144 | ||||||||
| FaxNumber: | 8158955740 | ||||||||
| Practice Location | |||||||||
| Address1: | 954 W STATE STREET | ||||||||
| Address2: | |||||||||
| City: | SYCAMORE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8158959144 | ||||||||
| FaxNumber: | 8158955740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 10/28/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 085000412 | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.