Individual
LOI T KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP, CFMO
Contact information
Practice address
5045 SOUTHAMPTON CIR, TAMPA, FL 33647-2031
(813) 416-5905
Mailing address
5045 SOUTHAMPTON CIR, TAMPA, FL 33647-2031
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PRO125
FL
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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