Provider Demographics
NPI:1497808489
Name:KAHN, ELEANOR MCNEELY (PHD, ARNP)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:MCNEELY
Last Name:KAHN
Suffix:
Gender:F
Credentials:PHD, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2325
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-2325
Mailing Address - Country:US
Mailing Address - Phone:603-356-3100
Mailing Address - Fax:603-356-7421
Practice Address - Street 1:2977 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5111
Practice Address - Country:US
Practice Address - Phone:603-356-3100
Practice Address - Fax:603-356-7421
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH031708-21363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNP0594Medicare ID - Type UnspecifiedMEDICARE PROVIDER
NHRE3213Medicare ID - Type UnspecifiedMEDICARE GROUP
NHR90262Medicare UPIN