Healthcare Provider Details

I. General information

NPI: 1619958295
Provider Name (Legal Business Name): DAVID KAHN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 US HIGHWAY 95A S SUITE B
FERNLEY NV
89408-9705
US

IV. Provider business mailing address

240 US HIGHWAY 95A S SUITE B
FERNLEY NV
89408-9705
US

V. Phone/Fax

Practice location:
  • Phone: 775-575-5511
  • Fax: 775-575-6767
Mailing address:
  • Phone: 775-575-5511
  • Fax: 775-575-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB-741
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: