Individual provider · Type 1 NPI
Bruce Kahl, ATHLETIC TRAINER
Sports Medicine (Preventive Medicine) Physician · Eagle, ID
NPI number
1508472309
Active
Practice location
574 N Park Ln
Eagle, ID 83616-4512
Mailing address
847 N Union Way
Star, ID 83669-6028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | AT-698 (ID) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1508472309
Bruce Kahl, ATHLETIC TRAINER's National Provider Identifier is 1508472309, issued on Sep 17, 2020. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Eagle, ID. The record was last updated on Sep 17, 2020.