Basic Information
Provider Information
NPI: 1366715302
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUHL
FirstName: AMY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 43 WHITING HILL RD
Address2: SUITE300
City: BREWER
State: ME
PostalCode: 044121005
CountryCode: US
TelephoneNumber: 2079735035
FaxNumber: 2079735042
Practice Location
Address1: 180 KENNEDY MEMORIAL DR
Address2: SUITE 201
City: WATERVILLE
State: ME
PostalCode: 049014540
CountryCode: US
TelephoneNumber: 2078733753
FaxNumber: 2078732620
Other Information
ProviderEnumerationDate: 02/22/2012
LastUpdateDate: 08/19/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XDO2532MEY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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