Provider Demographics
NPI:1275941254
Name:KAHLIG, SARAH J (CNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:KAHLIG
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 UNION CITY RD
Mailing Address - Street 2:
Mailing Address - City:FORT RECOVERY
Mailing Address - State:OH
Mailing Address - Zip Code:45846-9315
Mailing Address - Country:US
Mailing Address - Phone:419-375-4144
Mailing Address - Fax:419-375-4361
Practice Address - Street 1:1830 UNION CITY RD
Practice Address - Street 2:
Practice Address - City:FORT RECOVERY
Practice Address - State:OH
Practice Address - Zip Code:45846-9315
Practice Address - Country:US
Practice Address - Phone:419-375-4144
Practice Address - Fax:419-375-4361
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16233-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0108642Medicaid
OH0108642Medicaid