Individual
MR. MATTHEW A KAHANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 GOVERNORS DRIVE 1ST FLOOR, HUNTSVILLE, AL 35801-5171
(256) 533-1600
(256) 539-0856
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 533-1600
(256) 539-0856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TA1681
AL
363AM0700X
Medical Physician Assistant
TA1681
AL
363AS0400X
Surgical Physician Assistant
Primary
TA1681
AL
Other
Enumeration date
02/04/2009
Last updated
07/26/2016
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