Organization
SHELBY L. KAHL RDH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY L KAHL RDH, RMT, CCP (PRESIDENT)
(970) 686-6899
Entity
Organization
Contact information
Practice address
1194 W ASH ST STE E, WINDSOR, CO 80550-4608
(970) 686-6899
(970) 686-0889
Mailing address
1194 W ASH ST STE E, WINDSOR, CO 80550-4608
(970) 686-6899
(970) 686-0889
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1848
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578772851
NPI
CO
05
—
43558232
—
CO
Enumeration date
03/02/2009
Last updated
03/02/2009
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