Provider Demographics
NPI:1033761473
Name:KAHLER, BROOKE L (NP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:L
Last Name:KAHLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:L
Other - Last Name:KAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3948 CENTRAL GARDEN CT SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5830
Mailing Address - Country:US
Mailing Address - Phone:785-806-8612
Mailing Address - Fax:
Practice Address - Street 1:3948 CENTRAL GARDEN CT SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5830
Practice Address - Country:US
Practice Address - Phone:785-806-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN265197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily