MR. BRUCE KAHL ATHLETIC TRAINER
NPI 1508472309
Preventive Medicine - Sports Medicine in Eagle, ID

Q: What is Bruce Kahl's NPI number?

The NPI number for Bruce Kahl is 1508472309. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Q: What is Bruce Kahl's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Kahl was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2020

574 N PARK LN, EAGLE, ID 83616(208) 350-4235 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Bruce Kahl Athletic Trainer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRUCE KAHL ATHLETIC TRAINER (NPI 1508472309) is an individual sports medicine provider in Eagle, Idaho, licensed in Idaho (AT-698) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1508472309

Entity TypeIndividualMale

Primary Taxonomy2083S0010X

Provider Legal NameMR. BRUCE KAHLCredential: ATHLETIC TRAINER

Location Address574 N PARK LNEagle, ID 83616-4512

Mailing Address847 N Union WayStar, ID 83669-6028 · (775) 354-7900

Phone(208) 350-4235

Sole ProprietorYes

Enumeration DateSeptember 17, 2020

NPPES CertifiedSeptember 17, 2020

✔ NPI 1508472309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083S0010X

License✔ Licensed in ID · AT-698

Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

574 N PARK LN, Eagle, ID 83616

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Kahl's NPI number?

The NPI number for Bruce Kahl is 1508472309. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Bruce Kahl located?

Bruce Kahl practices at 574 N Park Ln, Eagle, ID 83616. The listed phone number is (208) 350-4235.

What is Bruce Kahl's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Bruce Kahl was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.