Provider Demographics
NPI:1861403560
Name:KUHN, KARIN JOHNSON (MD, DPT)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:JOHNSON
Last Name:KUHN
Suffix:
Gender:F
Credentials:MD, DPT
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:LYNN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:300 PASTEUR DR # MC5510
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2295
Mailing Address - Country:US
Mailing Address - Phone:650-723-7816
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR # MC5510
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2295
Practice Address - Country:US
Practice Address - Phone:650-723-7816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204657225100000X
390200000X
CAA1380282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC021016T86Medicare PIN