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NPI Code Detail

MEDICARE: HEATHER KAHAN MD

MEDICARE:   HEATHER  KAHAN  MD
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
1174400000XSpecialistME56739FL

General Provider Information

NPI Number : 1417901257
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER KAHAN MD
Provider Business Mailing Address
First Line : 6622 GRANDE ORCHID WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-4335
Country : US
Telephone Number : 561-733-7700
Fax Number : 561-733-5115
Provider Business Practice Location Address
First Line : 2828 S SEACREST BLVD
Second Line : STE 202
City : BOYNTON BEACH
State : FL
Zip : 33435-7944
Country : US
Telephone Number : 561-733-7700
Fax Number : 561-733-5115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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Directions to “ HEATHER KAHAN MD” Practice Location

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