Provider Demographics
NPI:1710610563
Name:KAHLE, DAWN RENEE (CNP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:RENEE
Last Name:KAHLE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 AUBURN DR STE 310
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4317
Mailing Address - Country:US
Mailing Address - Phone:216-285-5028
Mailing Address - Fax:216-201-5388
Practice Address - Street 1:1000 AUBURN DR STE 310
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4317
Practice Address - Country:US
Practice Address - Phone:216-285-5028
Practice Address - Fax:216-201-5388
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.P.R.N.C.N.P.003043363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health