Kanis, Adam B

Kanis, Adam B is an individual health care provider with primary practice located at 1 Jarrett White Rd Tripler Army Medical Center, Attn Mchk-Qs, Tamc HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Kanis, Adam B can be contacted via phone (808) 433-2460.

Contact Information

Primary practice address
1 Jarrett White Rd Tripler Army Medical Center, Attn Mchk-Qs Tamc HI 96859-5001
Phone: (808) 433-2460
Fax: (808) 433-1558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30001 Iowa
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 30001 Iowa

Profile Details

NPI number 1174518955
LBN Legal business name Kanis, Adam B
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 10th, 2021 - about 4 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 1174518955 NPPES
Iowa MEDICAID 0116129
Iowa Other 17019

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