Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 15823 | MI |
NPI | 1003017419 |
---|---|
Provider Name | Dr. Anthony J Kahn |
First Address | Howell, MI 48843-2325 |
Second Address | Howell, MI 48843-2325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |