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NPI Code Detail

MEDICARE: KAHIN NATIONAL LLC

MEDICARE: KAHIN NATIONAL LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1770299109
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAHIN NATIONAL LLC
Provider Business Mailing Address
First Line : 2761 ALLIED ST FL 1
Second Line :
City : GREEN BAY
State : WI
Zip : 54304-5501
Country : US
Telephone Number : 507-556-1135
Fax Number :
Provider Business Practice Location Address
First Line : 790 N MILWAUKEE ST STE 302
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4073
Country : US
Telephone Number : 507-556-1135
Fax Number :
Authorized Official
Title or Position : OWNER
Name : IBRAHIM B
Credential :
Telephone Number : 507-553-1135
Provider Enumeration Date : 01/30/2023
Last Update Date : 05/07/2024

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Directions to “KAHIN NATIONAL LLC ” Practice Location

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