Kahlbaugh, Mark Charles

Kahlbaugh, Mark Charles is an individual health care provider with primary practice located at 2093 E Willow Wick Rd , Gilbert AZ 85296-2747. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Kahlbaugh, Mark Charles can be contacted via phone (480) 205-6917.

Contact Information

Primary practice address
2093 E Willow Wick Rd Gilbert AZ 85296-2747
Phone: (480) 205-6917
Fax: (480) 361-4420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2559 Arizona

Profile Details

NPI number 1366501702
LBN Legal business name Kahlbaugh, Mark Charles
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366501702 NPPES
Arizona Other 2559 AZ STATE OT LICENSE

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