Provider Demographics
NPI:1861219792
Name:KAHLER, KATHEIRNE MARIE (RN, BSN)
Entity type:Individual
Prefix:
First Name:KATHEIRNE
Middle Name:MARIE
Last Name:KAHLER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:ZYGAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:414 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-2023
Mailing Address - Country:US
Mailing Address - Phone:716-427-4541
Mailing Address - Fax:716-436-5037
Practice Address - Street 1:414 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2023
Practice Address - Country:US
Practice Address - Phone:716-427-4541
Practice Address - Fax:716-436-5037
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY762715163WM0102X, 163WP1700X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WP1700XNursing Service ProvidersRegistered NursePerinatal