Provider Demographics
NPI:1750847216
Name:KAHLE, SUZANNE (APRN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:KAHLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 SUSSEX AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1401
Mailing Address - Country:US
Mailing Address - Phone:513-582-6547
Mailing Address - Fax:
Practice Address - Street 1:3908 MIAMI RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3705
Practice Address - Country:US
Practice Address - Phone:513-760-5511
Practice Address - Fax:513-781-9600
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026308363LP2300X
OH403713163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse