Individual
DR. ERIC J KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6880 PALM AVE, SEBASTOPOL, CA 95472-4270
(707) 823-7625
(707) 823-1521
Mailing address
6880 PALM AVE, SEBASTOPOL, CA 95472-4270
(707) 823-7625
(707) 823-1521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G84371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G843710
—
CA
05
—
00G843711
—
CA
01
—
180034750
MEDICARE RET RAILROAD
CA
Enumeration date
01/05/2006
Last updated
02/13/2015
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