Provider Demographics
NPI:1972077592
Name:KAHN, RICHARD CHARLES
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:CHARLES
Last Name:KAHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 MINES RD STE 207
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8842
Mailing Address - Country:US
Mailing Address - Phone:210-705-2196
Mailing Address - Fax:956-729-1880
Practice Address - Street 1:9505 MINES RD STE 209
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-8842
Practice Address - Country:US
Practice Address - Phone:210-705-2196
Practice Address - Fax:956-729-1880
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant