Individual
MRS. DIANA JO KAHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 W ADAMS ST, COCHRANTON, PA 16314
(814) 425-3937
(814) 425-3378
Mailing address
PO BOX 392, 146 W ADAMS ST, COCHRANTON, PA 16314
(814) 425-3937
(814) 425-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4607T1350
OH
152W00000X
Optometrist
Primary
OEG000457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2426299
—
OH
05
—
990320
—
PA
Enumeration date
09/26/2006
Last updated
06/07/2008
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