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NPI Code Detail

MEDICARE: DR. JEFFREY STEVEN KAHN D.P.M.

MEDICARE: DR. JEFFREY STEVEN KAHN D.P.M.
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
1213E00000XPodiatrist00092CT

General Provider Information

NPI Number : 1609931245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY STEVEN KAHN D.P.M.
Provider Business Mailing Address
First Line : 506 CROMWELL AVE
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-1851
Country : US
Telephone Number : 860-563-1200
Fax Number : 860-563-2665
Provider Business Practice Location Address
First Line : 506 CROMWELL AVE
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-1851
Country : US
Telephone Number : 860-563-1200
Fax Number : 860-563-2665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 07/19/2007

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