MEDICARE: MRS. SHERRY L KAHN MS, RN, CPNP

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	363LP0200X	Pediatric Nurse Practitioner	NP08431	OH

General Provider Information

NPI Number	:	1750421947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY L KAHN MS, RN, CPNP

Provider Business Mailing Address
First Line	:	1 CHILDRENS PLZ
Second Line	:	DEPARTMENT OF SURGERY & SPRINGBORO URGENT CARE
City	:	DAYTON
State	:	OH
Zip	:	45404-1898
Country	:	US
Telephone Number	:	937-641-3000
Fax Number	:	937-641-4952

Provider Business Practice Location Address
First Line	:	5079 MAD RIVER RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2138
Country	:	US
Telephone Number	:	937-938-8130
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	06/24/2010

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