Provider Demographics
NPI:1548451040
Name:KUHN, WILLIAM BRIAN (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRIAN
Last Name:KUHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2781
Mailing Address - Country:US
Mailing Address - Phone:386-425-8582
Mailing Address - Fax:386-252-1776
Practice Address - Street 1:3750 LANDMARK DR STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-6652
Practice Address - Country:US
Practice Address - Phone:317-396-1300
Practice Address - Fax:765-447-4172
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058223207T00000X
IN01032786A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064700400Medicaid
11486OtherBLUE CROSS
E66869Medicare UPIN
11486OtherBLUE CROSS