Doctor Name: | MS. CAREN ANN KAHL-HEPP |
NPI Number: | 1124311279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 242918-1 |
Business Practice Address: | 6363 Lakeshore Road Cicero, NY - 13039 |
Business Phone Number: | 3158761906 |
Business Fax Number: | |
Mailing Address: | 6363 Lakeshore Road, CICERO |
State: | NY |
Postal Code: | 13039 |
Phone Number: | 3158761906 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 242918-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |