Doctor Name: | BRAD W KUHLMAN |
NPI Number: | 1013967173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD LP |
License Number: | LP3054 |
Business Practice Address: | 1900 Centracare Circle Centracare Health Plaza St Cloud, MN - 56303 |
Business Phone Number: | 3202294977 |
Business Fax Number: | 3206567026 |
Mailing Address: | 1406 6th Ave N, ST CLOUD |
State: | MN |
Postal Code: | 56303 |
Phone Number: | 3202512700 |
Fax Number: | 3206567026 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP3054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |