Healthcare Provider Details

I. General information

NPI: 1619670320
Provider Name (Legal Business Name): SARA KAHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/10/2023
Certification Date: 07/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 TUNNEL RD
ASHEVILLE NC
28805-1853
US

IV. Provider business mailing address

170 RIVER BIRCH GROVE RD APT 201
ASHEVILLE NC
28806-0318
US

V. Phone/Fax

Practice location:
  • Phone: 828-333-6179
  • Fax:
Mailing address:
  • Phone: 828-708-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13378
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: