Healthcare Provider Details

I. General information

NPI: 1538455753
Provider Name (Legal Business Name): NOAH HODSDON KAHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 MOUNTAIN LAUREL CT
FLORENCE SC
29505-6053
US

IV. Provider business mailing address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

V. Phone/Fax

Practice location:
  • Phone: 843-407-2030
  • Fax: 843-407-2025
Mailing address:
  • Phone: 252-744-3229
  • Fax: 252-744-3924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD34983
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: