Provider Demographics
NPI:1881915288
Name:KAHLE, MARK D (DO)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:D
Last Name:KAHLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4885 OLENTANGY RIVER RD STE 1-20
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1953
Mailing Address - Country:US
Mailing Address - Phone:614-268-6555
Mailing Address - Fax:614-457-5713
Practice Address - Street 1:4885 OLENTANGY RIVER RD STE 1-20
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1953
Practice Address - Country:US
Practice Address - Phone:614-268-6555
Practice Address - Fax:614-457-5713
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-20
Last Update Date:2023-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.010793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine