Kanamori, Glenn S.

Kanamori, Glenn S. is an individual health care provider with primary practice located at 1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando, Orlando FL 32806-2946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Kanamori, Glenn S. can be contacted via phone (407) 650-7715.

Contact Information

Primary practice address
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando Orlando FL 32806-2946
Phone: (407) 650-7715
Fax: (407) 650-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G65026 California
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME115604 Florida

Profile Details

NPI number 1972697357
LBN Legal business name Kanamori, Glenn S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 29th, 2013 - about 11 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 1972697357 NPPES
California MEDICAID 00G650260

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