Provider Demographics
NPI:1588273338
Name:CAHALAN, CONOR DANIEL (PA-C)
Entity type:Individual
Prefix:
First Name:CONOR
Middle Name:DANIEL
Last Name:CAHALAN
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:SKAGWAY
Mailing Address - State:AK
Mailing Address - Zip Code:99840-0537
Mailing Address - Country:US
Mailing Address - Phone:907-983-2255
Mailing Address - Fax:907-983-2793
Practice Address - Street 1:350 14TH AVE
Practice Address - Street 2:PO BOX 537
Practice Address - City:SKAGWAY
Practice Address - State:AK
Practice Address - Zip Code:99840-0537
Practice Address - Country:US
Practice Address - Phone:907-983-2255
Practice Address - Fax:907-983-2793
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT91400363AM0700X
AK161091363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical