Kanner, Gary

Kanner, Gary is an individual health care provider with primary practice located at 1010 Spruce St , Espanola NM 87532-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kanner, Gary can be contacted via phone (505) 753-7111.

Contact Information

Primary practice address
1010 Spruce St Espanola NM 87532-2724
Phone: (505) 753-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2020-0828 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301112793 New Mexico

Profile Details

NPI number 1568992220
LBN Legal business name Kanner, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Sep 14th, 2020 - about 6 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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