Kanis, Stewart Douglas
Kanis, Stewart Douglas is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kanis, Stewart Douglas can be contacted via phone (641) 628-3832.Contact Information
Primary practice address
405 Monroe St
Pella IA 50219-1189
Phone: (641) 628-3832
Fax: (641) 628-8894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3671 | Iowa |
Profile Details
| NPI number | 1689787152 |
|---|---|
| LBN Legal business name | Kanis, Stewart Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Aug 31st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689787152 | NPPES |
| Iowa | Other | 1689787152 | NPI |
| Iowa | MEDICAID | 0794982 | NPI |
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