Individual
MR. PAUL WYANT KAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 E 61ST ST, SAVANNAH, GA 31405-4116
(201) 616-9263
(315) 750-3205
Mailing address
18 E 61ST ST, SAVANNAH, GA 31405-4116
(201) 616-9263
(315) 750-3205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007658
GA
1041C0700X
Clinical Social Worker
LCSW-17112
AZ
1041C0700X
Clinical Social Worker
R079976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03954414
—
NY
05
—
451183
—
AZ
01
—
A300160109
MEDICARE ID
NY
01
—
P02642655
RAILROAD MEDICARE
GA
01
—
Q133960281
MEDICARE
GA
01
—
Z216197
MEDICARE ID
AZ
Enumeration date
02/25/2011
Last updated
03/09/2022
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