Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bruce Kahl, ATHLETICTRAINER

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1508472309

Mr. Bruce Kahl, ATHLETICTRAINER is a Sports Medicine (Preventive Medicine) Physician in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

574 N Park Ln
Eagle, ID 83616-4512
Phone: (208) 350-4235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence AT-698 (ID)

Record details

NPI number1508472309
Entity typeIndividual (Type 1)
GenderMale
Credentials ATHLETICTRAINER
Sole proprietorYes
NPI enumeratedSeptember 17, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020