KAHLA GAGNE NPI 1205221264

NPI Information

  • NPI: 1205221264
  • Provider Name: KAHLA GAGNE
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1305 STONEY RUN TRL
    BROADVIEW HEIGHTS, OH
    ZIP 44147
  • Phone: (440) 315-4511

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NPI Details

Kahla Gagne is a primary care nurse practitioner in Broadview Heights, OH with 11 years of experience. Kahla Gagne NPI is 1205221264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2015

The provider's business location address is:

1305 STONEY RUN TRL
BROADVIEW HEIGHTS, OH
ZIP 44147-555
Phone: (440) 315-4511

The NPI 1205221264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2015 and was last updated on 4/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareRN.368003-COA17217OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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