Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 53701 | KY |
N | 207SG0201X | Clinical Genetics (M.D.) | E-4535 | AR |
N | 207SG0201X | Clinical Genetics (M.D.) | TP967 | KY |
N | 208000000X | Pediatrician | E-4535 | AR |
NPI | 1861582363 |
---|---|
Provider Name | Stephen Kahler |
First Address | Lexington, KY 40508-3215 |
Second Address | Lexington, KY 40536-3215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 10/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158017001 | (05) | AR |
C84810 | (02) |