MEDICARE: DAVID D. KAHLSTORF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246XS1301X	Sonography Specialist/Technologist Cardiovascular		AZ

General Provider Information

NPI Number	:	1346436268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID D. KAHLSTORF

Provider Business Mailing Address
First Line	:	1801 E SHEENA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4533
Country	:	US
Telephone Number	:	602-368-6924
Fax Number	:	602-368-6924

Provider Business Practice Location Address
First Line	:	1801 E SHEENA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-4533
Country	:	US
Telephone Number	:	602-368-6924
Fax Number	:	602-368-6924

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID D. KAHLSTORF
Credential	:	RDMS
Telephone Number	:	602-368-6924

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	07/21/2022

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Directions to “DAVID D. KAHLSTORF ” Practice Location

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