| Doctor Name: | MR. ANDREW SHANE KUHLMAN |
| NPI Number: | 1003172560 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 5114 |
| Business Practice Address: | 1635 E Myrtle Ave Ste 400 Phoenix, AZ - 850205556 |
| Business Phone Number: | 6029442900 |
| Business Fax Number: | 6029440064 |
| Mailing Address: | 1635 E Myrtle Ave, Suite 400 PHOENIX |
| State: | AZ |
| Postal Code: | 850205556 |
| Phone Number: | 6029442900 |
| Fax Number: | 6029440064 |
| NPI Enumeration Date: | 04/09/2012 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 5114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |