Provider Demographics
NPI:1043452576
Name:KAHN, SUSAN TRIMMER (LPN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:TRIMMER
Last Name:KAHN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GOLD BOULLION RD
Mailing Address - Street 2:
Mailing Address - City:CUDJOE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-4714
Mailing Address - Country:US
Mailing Address - Phone:305-745-9814
Mailing Address - Fax:305-293-1862
Practice Address - Street 1:43 GOLD BOULLION RD
Practice Address - Street 2:
Practice Address - City:CUDJOE KEY
Practice Address - State:FL
Practice Address - Zip Code:33042-4714
Practice Address - Country:US
Practice Address - Phone:305-745-9814
Practice Address - Fax:305-293-1862
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5150026164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse