Basic Information
Provider Information
NPI: 1992835367
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEHL
FirstName: SARAH
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1488 OAK ST
Address2:  
City: EUGENE
State: OR
PostalCode: 974014043
CountryCode: US
TelephoneNumber: 5416831577
FaxNumber:  
Practice Location
Address1: 1488 OAK ST
Address2:  
City: EUGENE
State: OR
PostalCode: 974014043
CountryCode: US
TelephoneNumber: 5416831577
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/06/2007
LastUpdateDate: 02/12/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207K00000XMD27488ORY Allopathic & Osteopathic PhysiciansAllergy & Immunology 

No ID Information.


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