Provider Demographics
NPI:1053161703
Name:KUEHN, THOMAS KELLY (DO)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:KELLY
Last Name:KUEHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 K ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3624
Mailing Address - Country:US
Mailing Address - Phone:614-464-7255
Mailing Address - Fax:
Practice Address - Street 1:245 FOUNTAIN CT STE 215
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2792
Practice Address - Country:US
Practice Address - Phone:859-323-6861
Practice Address - Fax:859-323-1194
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program