MEDICARE: SANDRA KAHN A.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	2469	FL

General Provider Information

NPI Number	:	1073790739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA KAHN A.P.

Provider Business Mailing Address
First Line	:	12555 ORANGE DR
Second Line	:	SUITE 269
City	:	DAVIE
State	:	FL
Zip	:	33330-4304
Country	:	US
Telephone Number	:	954-862-1777
Fax Number	:

Provider Business Practice Location Address
First Line	:	12555 ORANGE DR
Second Line	:	SUITE 269
City	:	DAVIE
State	:	FL
Zip	:	33330-4304
Country	:	US
Telephone Number	:	954-862-1777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	01/24/2008

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Directions to “ SANDRA KAHN A.P.” Practice Location

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