CASEY KENYON MAHLE CPNP-PC NPI 1508155169

NPI Information

  • NPI: 1508155169
  • Provider Name: CASEY KENYON MAHLE, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 114 KINDERTON BLVD
    ADVANCE, NC
    ZIP 27006
  • Phone: (336) 998-9742

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NPI Details

Casey Kenyon Mahle, CPNP-PC is a pediatrics nurse practitioner in Advance, NC. Casey Kenyon Mahle, CPNP-PC NPI is 1508155169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

114 KINDERTON BLVD
ADVANCE, NC
ZIP 27006-302
Phone: (336) 998-9742
Fax: (336) 998-9410

The NPI 1508155169 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 4/5/2011 and was last updated on 2/2/2015.

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
1363LP0200XNurse PractitionerPediatrics12286-NPOHIONo
2363LP0200XNurse PractitionerPediatrics5007441NORTH CAROLINAYes

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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