Individual provider · NPI-1

Dr. Daniel Kao-Lyn Dagenhart, DO

Emergency Medicine · Orange Park, FL

NPI number1457091399
StatusActive
Last updated in NPPESJul 28, 2025

Details

NPI
1457091399
Entity type
Individual (NPI-1)
Name
Dr. Daniel Kao-Lyn Dagenhart
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2022
Certification date
Jul 28, 2025
Last updated
Jul 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineOS22462FLYes
207P00000X Emergency Medicine2024-02829NC
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-2003

Mailing address

12571 Costas Way
Jacksonville, FL 32246-0014

Phone 240-285-6375

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