Healthcare Provider Details

I. General information

NPI: 1942706833
Provider Name (Legal Business Name): KAYLA MARIE HAHN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA ROBERTSON DO

II. Dates (important events)

Enumeration Date: 04/01/2018
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15301 WARREN SHINGLE RD
BEALE AFB CA
95903-1905
US

IV. Provider business mailing address

15301 WARREN SHINGLE RD
BEALE AFB CA
95903-1905
US

V. Phone/Fax

Practice location:
  • Phone: 530-634-2941
  • Fax: 530-634-4763
Mailing address:
  • Phone: 530-634-4114
  • Fax: 530-634-4763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6667
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: