Basic Information
Provider Information
NPI: 1003010810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUEHL
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 85 1ST AVE NW
Address2:  
City: HUTCHINSON
State: MN
PostalCode: 553501603
CountryCode: US
TelephoneNumber: 3205872765
FaxNumber: 3205875070
Practice Location
Address1: 85 1ST AVE NW
Address2:  
City: HUTCHINSON
State: MN
PostalCode: 553501603
CountryCode: US
TelephoneNumber: 3205872765
FaxNumber: 3205875070
Other Information
ProviderEnumerationDate: 06/14/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X1151MNY Chiropractic ProvidersChiropractor 

ID Information
IDTypeStateIssuerDescription
3D033KU01MNBLUE CROSS BLUE SHIELDOTHER
53204KU01MNBCBSOTHER


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