Provider Demographics
NPI:1760938716
Name:KAHLER, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1772 DONNELLY DR NW
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-2719
Mailing Address - Country:US
Mailing Address - Phone:952-250-2663
Mailing Address - Fax:952-444-3464
Practice Address - Street 1:1772 DONNELLY DR NW
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313
Practice Address - Country:US
Practice Address - Phone:952-250-2663
Practice Address - Fax:952-444-3464
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3052106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist