Individual provider Active NPI

Kristen June Kuhlman, DPT

  • Pediatric Physical Therapist
  • Kalamazoo, MI
National Provider Identifier
1366090326
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5501019300 Issued in MI
Practice address
5659 Stadium Dr Ste 2
Kalamazoo, MI 49009-1932
Phone
(269) 372-0436
Fax
(269) 372-0483
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 5501019300 MI Primary

Addresses

Primary practice location

5659 Stadium Dr Ste 2
Kalamazoo, MI 49009-1932

Mailing address

5659 Stadium Dr Ste 2
Kalamazoo, MI 49009-1932
Phone (269) 372-0436

Other identifiers 1

IdentifierTypeStateIssuer
5501019300OtherMISTATE OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1366090326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR STE 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932",
            "telephone_number": "269-372-0436",
            "fax_number": "269-372-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR STE 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932",
            "telephone_number": "269-372-0436",
            "fax_number": "269-372-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLMAN",
        "first_name": "KRISTEN",
        "middle_name": "JUNE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501019300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501019300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.