Individual
DR. DOUGLAS H. KAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1696 SE HILLMOOR DR # TD, STE B, PORT ST LUCIE, FL 34952-7699
(772) 335-1200
(772) 335-1292
Mailing address
1696 SE HILLMOOR DR, STE B, PORT ST LUCIE, FL 34952-7699
(772) 335-1200
(772) 335-1292
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P0002307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3904130001
—
FL
01
—
FQ092A
MEDICARE PTAN
FL
Enumeration date
08/12/2005
Last updated
03/08/2013
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