Doctor Name: | HEATHER KAHAN |
NPI Number: | 1417901257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME56739 |
Business Practice Address: | 2828 S Seacrest Blvd Ste 202 Boynton Beach, FL - 334357944 |
Business Phone Number: | 5617337700 |
Business Fax Number: | 5617335115 |
Mailing Address: | 6622 Grande Orchid Way, DELRAY BEACH |
State: | FL |
Postal Code: | 334464335 |
Phone Number: | 5617337700 |
Fax Number: | 5617335115 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME56739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |