Kanaby, Robert Joseph

Kanaby, Robert Joseph is an individual health care provider with primary practice located at 353 New Shackle Island Rd Suite 141-C, Hendersonville TN 37075-2379. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kanaby, Robert Joseph can be contacted via phone (615) 826-3100.

Contact Information

Primary practice address
353 New Shackle Island Rd Suite 141-C Hendersonville TN 37075-2379
Phone: (615) 826-3100
Fax: (615) 447-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1359 Tennessee

Profile Details

NPI number 1841226982
LBN Legal business name Kanaby, Robert Joseph
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841226982 NPPES
Tennessee Other 4217372 BCBST
Tennessee MEDICAID 1511569 BCBST

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