Individual
ZACHARY D KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3176
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-3027
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-3027
STATE LICENSE
CO
Enumeration date
06/29/2010
Last updated
06/29/2010
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