Gage David-Clayton Kahn

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

402 Goodrich Ave
Kittery, ME 03904

Phone

(207) 438-4940

NPI assigned

Aug 19, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1023736642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 HOME AVE UNIT 55",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054784",
            "telephone_number": "757-374-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GOODRICH AVE",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "207-438-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "GAGE",
        "middle_name": "DAVID-CLAYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca-Jane Cram Johnson, M.A., CCC-SLP
• Mariah Joiner, OTR/L
• Archie R. Jones
• Elizabeth Joseph, DDS, MA
• Joshua Pirini
• Katherine Wilson, PLLC
• Emily Jean Katz, PA-C
• Timothy Kingsbury, D.O.
• Kathleen Kippin, COTA/L
• Kittery Commons LLC

• Independent Duty Corpsman in Kittery, ME
• Providers in Kittery, ME by specialty
• Independent Duty Corpsman in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.