Provider Demographics
NPI:1295076669
Name:KAHIN, HODO
Entity type:Individual
Prefix:MISS
First Name:HODO
Middle Name:
Last Name:KAHIN
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 1:6173 GROVE CREST WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-7769
Mailing Address - Country:US
Mailing Address - Phone:678-521-9588
Mailing Address - Fax:
Practice Address - Street 1:6173 GROVE CREST WAY
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-7769
Practice Address - Country:US
Practice Address - Phone:678-521-9588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist