Provider Demographics
NPI:1215204706
Name:KALFAS, AMANDA RAHN (PA-C)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RAHN
Last Name:KALFAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:BRITTANY
Other - Last Name:RAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6975 DIXIE HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-5431
Mailing Address - Country:US
Mailing Address - Phone:513-887-2100
Mailing Address - Fax:513-887-2101
Practice Address - Street 1:6975 DIXIE HWY
Practice Address - Street 2:SUITE A
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-5431
Practice Address - Country:US
Practice Address - Phone:513-887-2100
Practice Address - Fax:513-887-2101
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003675RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant