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General NPI Number Information
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NPI Number | 1245335694
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Entity Type | Organization
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Legal Business Name | RONALD F KAHN MD PA
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 1920 W VILLA MARIA RD SUITE 201
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City | BRYAN
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State | TX
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Zip | 77807-4857
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Country | US
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Telephone | 979-268-0786
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Fax | 979-846-2136
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Provider Business Mailing Address
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Address Line | 1920 W VILLA MARIA RD SUITE 201
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City | BRYAN
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State | TX
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Zip | 77807-4857
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Country | US
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Telephone | 979-268-0786
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Fax | 979-846-2136
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RONALD F KAHN
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Credential | M.D.
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Telephone | 979-268-0786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L5000
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License Number State | TX
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