Provider Demographics
NPI:1487826319
Name:TANYA KAHL PA
Entity Type:Organization
Organization Name:TANYA KAHL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-552-6820
Mailing Address - Street 1:2760 SW 97TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2684
Mailing Address - Country:US
Mailing Address - Phone:305-552-6820
Mailing Address - Fax:305-220-6584
Practice Address - Street 1:2760 SW 97TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2684
Practice Address - Country:US
Practice Address - Phone:305-552-6820
Practice Address - Fax:305-220-6584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty