Provider Demographics
NPI:1124538673
Name:KAHEN, KRISTY RENEA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:RENEA
Last Name:KAHEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7278 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6125
Mailing Address - Country:US
Mailing Address - Phone:727-807-5900
Mailing Address - Fax:727-264-8520
Practice Address - Street 1:7278 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6125
Practice Address - Country:US
Practice Address - Phone:727-807-5900
Practice Address - Fax:727-264-8520
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2717642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily