Provider Demographics
NPI:1942706833
Name:HAHN, KAYLA MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:MARIE
Last Name:HAHN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:15301 WARREN SHINGLE RD
Mailing Address - Street 2:
Mailing Address - City:BEALE AFB
Mailing Address - State:CA
Mailing Address - Zip Code:95903-1905
Mailing Address - Country:US
Mailing Address - Phone:530-634-2941
Mailing Address - Fax:530-634-4763
Practice Address - Street 1:15301 WARREN SHINGLE RD
Practice Address - Street 2:
Practice Address - City:BEALE AFB
Practice Address - State:CA
Practice Address - Zip Code:95903-1905
Practice Address - Country:US
Practice Address - Phone:530-634-2941
Practice Address - Fax:530-634-4763
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X, 171000000X
OK6667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine