Provider Demographics
NPI:1619958295
Name:KAHN, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KAHN
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 1:240 US HIGHWAY 95A S
Mailing Address - Street 2:SUITE B
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-9705
Mailing Address - Country:US
Mailing Address - Phone:775-575-5511
Mailing Address - Fax:775-575-6767
Practice Address - Street 1:240 US HIGHWAY 95A S
Practice Address - Street 2:SUITE B
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-9705
Practice Address - Country:US
Practice Address - Phone:775-575-5511
Practice Address - Fax:775-575-6767
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV35102Medicare ID - Type Unspecified