Individual
JASON T. KUHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6964 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-9292
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001165
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721194
ANTHEM
IN
01
—
P01824468
RR PTAN
IN
Enumeration date
03/31/2010
Last updated
11/27/2023
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