Healthcare Provider Details

I. General information

NPI: 1972131688
Provider Name (Legal Business Name): GABRIELLE ELIZABETH KAHLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S LIMESTONE STE 304
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

25356 COLE ST APT 25
LOMA LINDA CA
92354-3116
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0303
  • Fax: 859-323-1200
Mailing address:
  • Phone: 805-450-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number59980
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number59980
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: