Provider Demographics
NPI:1346350741
Name:KAHN, ANNA (DC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:KAHN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HIGHWAY 43 E
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2116
Mailing Address - Country:US
Mailing Address - Phone:870-365-0071
Mailing Address - Fax:870-365-0075
Practice Address - Street 1:200 HIGHWAY 43 E
Practice Address - Street 2:SUITE 2
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2116
Practice Address - Country:US
Practice Address - Phone:870-365-0071
Practice Address - Fax:870-365-0075
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1543111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARH0835370Medicare UPIN
AR5U643Medicare ID - Type Unspecified