Provider Demographics
NPI:1346125507
Name:KUEHNE, MAHALA J (MPH)
Entity type:Individual
Prefix:
First Name:MAHALA
Middle Name:J
Last Name:KUEHNE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:MAHALA
Other - Middle Name:J
Other - Last Name:ENZLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-0077
Mailing Address - Country:US
Mailing Address - Phone:707-407-6360
Mailing Address - Fax:
Practice Address - Street 1:455 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-3921
Practice Address - Country:US
Practice Address - Phone:707-407-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 174H00000X
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker