Provider Demographics
NPI:1720321599
Name:AYDINYAN, KAHREN K (DO)
Entity type:Individual
Prefix:DR
First Name:KAHREN
Middle Name:K
Last Name:AYDINYAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CREST RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-9701
Mailing Address - Country:US
Mailing Address - Phone:802-524-1000
Mailing Address - Fax:802-524-1008
Practice Address - Street 1:10 CREST RD
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478
Practice Address - Country:US
Practice Address - Phone:802-524-1000
Practice Address - Fax:802-524-1008
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-30
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT032.0133790207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery