Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 09627 | MS |
NPI | 1063526895 |
---|---|
Provider Name | Ralph C Kahler |
First Address | Hattiesburg, MS 39401-7246 |
Second Address | Hattiesburg, MS 39401-7246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00117526 | (05) | MS |
110038727 | RAILROAD MEDICARE (01) | MS |
1559010 | AMERICAN ADMIN GROUP (01) | MS |
1739715 | (05) | LA |
C48299 | (02) |