| Doctor Name: | CASEY KENYON MAHLE |
| NPI Number: | 1508155169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP-PC |
| License Number: | 12286-NP |
| Business Practice Address: | 114 Kinderton Blvd Advance, NC - 270067302 |
| Business Phone Number: | 3369989742 |
| Business Fax Number: | 3369989410 |
| Mailing Address: | 1701 Westchester Dr, Suite 850 HIGH POINT |
| State: | NC |
| Postal Code: | 272627008 |
| Phone Number: | 3368022400 |
| Fax Number: | 3368022536 |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 12286-NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |