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Individual

EMILY ANN KAHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
224 CRUZ ALTA RD STE G, TAOS, NM 87571-5947
(575) 425-6065
Mailing address
1620 N MAIN ST, SPANISH FORK, UT 84660-1008
(801) 822-2234

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055124
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103273434
PA
Enumeration date
09/06/2011
Last updated
07/20/2026
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