Provider Demographics
NPI:1063526895
Name:KAHLER, RALPH C (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:C
Last Name:KAHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-296-2976
Mailing Address - Fax:601-579-5240
Practice Address - Street 1:415 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7246
Practice Address - Country:US
Practice Address - Phone:601-296-2976
Practice Address - Fax:601-579-5240
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09627208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117526Medicaid
MS110038727OtherRAILROAD MEDICARE
LA1739715Medicaid
MS1559010OtherAMERICAN ADMIN GROUP
MS110038727OtherRAILROAD MEDICARE
MS1559010OtherAMERICAN ADMIN GROUP