Provider Demographics
NPI:1073707568
Name:KAHN, ALBERT (DC)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:KAHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 ALUM ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-2437
Mailing Address - Country:US
Mailing Address - Phone:408-839-6122
Mailing Address - Fax:408-251-4402
Practice Address - Street 1:1664 ALUM ROCK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-2437
Practice Address - Country:US
Practice Address - Phone:408-839-6122
Practice Address - Fax:408-251-4402
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0202400111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition