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Individual

RALPH C KAHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2976
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2976
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
09627
MS
208M00000X
Hospitalist Physician
09627
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00117526
MS
01
110038727
RAILROAD MEDICARE
MS
01
1559010
AMERICAN ADMIN GROUP
MS
05
1739715
LA
Enumeration date
08/18/2006
Last updated
02/22/2021
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