Provider Demographics
NPI:1194041012
Name:KAHN, EVAN ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:ANDREW
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 1:154 VILLAGE WALK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7679
Mailing Address - Country:US
Mailing Address - Phone:919-986-1492
Mailing Address - Fax:
Practice Address - Street 1:154 VILLAGE WALK DR
Practice Address - Street 2:SUITE 133
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7679
Practice Address - Country:US
Practice Address - Phone:919-986-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4054111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor