Provider Demographics
NPI:1619511003
Name:KAHM, NATHAN ROBINSON (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ROBINSON
Last Name:KAHM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 CORONA AVE APT D
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-5904
Mailing Address - Country:US
Mailing Address - Phone:406-207-4674
Mailing Address - Fax:
Practice Address - Street 1:62 N 3RD ST
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2025
Practice Address - Country:US
Practice Address - Phone:541-727-7867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty