Kanallakan, Timothy Donald

Kanallakan, Timothy Donald is an individual health care provider with primary practice located at 3520 E Shields Ave #102, Fresno CA 93726-6923. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Kanallakan, Timothy Donald can be contacted via phone (559) 221-1933.

Contact Information

Primary practice address
3520 E Shields Ave #102 Fresno CA 93726-6923
Phone: (559) 221-1933
Fax: (559) 221-0260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1316267727
LBN Legal business name Kanallakan, Timothy Donald
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2010
Last updated Jun 14th, 2010 - about 14 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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