Doctor Name: | RICHARD FREDERICK KUEHNE |
NPI Number: | 1801847504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0039815 |
Business Practice Address: | 1500 N Mcmullen Booth Rd A1-a2 Clearwater, FL - 337595504 |
Business Phone Number: | 7272661266 |
Business Fax Number: | 7272661276 |
Mailing Address: | 1111 N Bayshore Blvd, C1 CLEARWATER |
State: | FL |
Postal Code: | 337593324 |
Phone Number: | 8139527428 |
Fax Number: | 7277974721 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0039815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |