Provider Demographics
NPI:1376726752
Name:KAHN, STEVE J (DOM)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:J
Last Name:KAHN
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 SENA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-8835
Mailing Address - Country:US
Mailing Address - Phone:505-988-3403
Mailing Address - Fax:
Practice Address - Street 1:324 SENA ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-8835
Practice Address - Country:US
Practice Address - Phone:505-988-3403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-09
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM824RX1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist