Mr Bruce Kahl, ATHLETIC TRAINER is a
Preventive Medicine - Sports Medicine physician based in Eagle, Idaho. Mr Bruce Kahl is licensed to practice in Idaho (license number AT-698) and his current practice location is 574 N Park Ln, Eagle, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 350-4235.
NPI number for Mr Bruce Kahl is 1508472309 and his current mailing address is 847 N Union Way, Star, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508472309.
Physician's Profile
| Full Name | Mr Bruce Kahl |
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| Gender | Male |
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| Speciality | Preventive Medicine - Sports Medicine |
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| Location | 574 N Park Ln, Eagle, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508472309
- Provider Enumeration Date: 09/17/2020
- Last Update Date: 09/17/2020
Medical Identifiers
Medical identifiers for Mr Bruce Kahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508472309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | AT-698 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bruce Kahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bruce Kahl, ATHLETIC TRAINER
847 N Union Way,
Star, ID 83669-6028
Ph: (775) 354-7900 | Mr Bruce Kahl, ATHLETIC TRAINER
574 N Park Ln,
Eagle, ID 83616-4512
Ph: (208) 350-4235 |
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