Healthcare Provider Details

I. General information

NPI: 1750421947
Provider Name (Legal Business Name): SHERRY L KAHN MS, RN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5079 MAD RIVER RD
DAYTON OH
45429-2138
US

IV. Provider business mailing address

1 CHILDRENS PLZ DEPARTMENT OF SURGERY & SPRINGBORO URGENT CARE
DAYTON OH
45404-1898
US

V. Phone/Fax

Practice location:
  • Phone: 937-938-8130
  • Fax:
Mailing address:
  • Phone: 937-641-3000
  • Fax: 937-641-4952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP08431
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: