Provider Demographics
NPI:1568429470
Name:KAHN, KARYN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:A
Last Name:KAHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31229 S WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5818
Mailing Address - Country:US
Mailing Address - Phone:216-464-4241
Mailing Address - Fax:216-445-8570
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK A70
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-3265
Practice Address - Fax:216-445-8570
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015778122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0657089Medicaid