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NPI Code Detail

MEDICARE: MEGAN EILEEN KAHLER LPN

MEDICARE: MEGAN EILEEN KAHLER LPN
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
1164W00000XLicensed Practical NurseLP045971AZ

General Provider Information

NPI Number : 1407182306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN EILEEN KAHLER LPN
Provider Business Mailing Address
First Line : 18733 N MILLER WAY
Second Line :
City : MARICOPA
State : AZ
Zip : 85139-6899
Country : US
Telephone Number : 317-626-9802
Fax Number :
Provider Business Practice Location Address
First Line : 44150 W MARICOPA CASA GRANDE HWY
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-5900
Country : US
Telephone Number : 520-568-5100
Fax Number : 520-568-5151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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