IndividualActive
Bruce Kahl, ATHLETIC TRAINER
NPI 1508472309 · Sports Medicine (Preventive Medicine) Physician · Eagle, ID
Provider details
- NPI number
- 1508472309
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATHLETIC TRAINER
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT-698 (ID)
Mailing address
847 N Union Way
Star, ID 83669-6028
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.