Basic Information
| Provider Information | |||||||||
| NPI: | 1003010810 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KUEHL | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| 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 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 1151 | MN | Y | Chiropractic Providers | Chiropractor |
ID Information
| ID | Type | State | Issuer | Description | 53204KU | 01 | MN | BCBS | OTHER | 3D033KU | 01 | MN | BLUE CROSS BLUE SHIELD | OTHER |