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Individual

GARRET LOGAN KAHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1004 PROGRESS DR STE 145&180, LANSING, KS 66043-6326
(913) 297-3215
(913) 297-2732
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-47588
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016289167
PTAN
KS
05
200168394
MO
05
30004990840003
KS
Enumeration date
05/27/2020
Last updated
05/08/2026
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