Provider Demographics
NPI:1366063190
Name:KUHLMANN, BENNIE JOE (DC)
Entity type:Individual
Prefix:
First Name:BENNIE
Middle Name:JOE
Last Name:KUHLMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11567 42ND ST SE
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55319-9202
Mailing Address - Country:US
Mailing Address - Phone:612-222-2002
Mailing Address - Fax:
Practice Address - Street 1:11567 42ND ST SE
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55319-9202
Practice Address - Country:US
Practice Address - Phone:612-222-6002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor