Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-026641 | OH |
N | 111NI0900X | Internist | 35-026641 | OH |
Y | 207RC0000X | Internist - Cardiovascular Disease | 35026641K | OH |
N | 207RI0011X | Interventional Cardiology | 35026641K | OH |
NPI | 1003840794 |
---|---|
Provider Name | Alan R Kamen |
First Address | Canton, OH 44718-4045 |
Second Address | Canton, OH 44718-4045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 18/09/2007 |