Provider Demographics
NPI:1710278916
Name:KAHLE, ALLEN DANA II (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:DANA
Last Name:KAHLE
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 OAKMONT RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5616
Mailing Address - Country:US
Mailing Address - Phone:304-242-6683
Mailing Address - Fax:740-942-0502
Practice Address - Street 1:651 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-9498
Practice Address - Country:US
Practice Address - Phone:740-942-3101
Practice Address - Fax:740-942-0502
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-10180183500000X
WV2868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist