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Individual

BRADLEY DAVID KUHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2536086
SC
2086S0127X
Trauma Surgery Physician
Primary
92627
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22N33N45
CONTROLLED SUBSTANCES NUMBER
SC
01
2536086
STATE REGISTRATION NUMBER
SC
Enumeration date
08/27/2013
Last updated
07/08/2022
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