Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD467905 | PA |
N | 207VE0102X | Reproductive Endocrinologist | 89565 | GA |
NPI | 1487069415 |
---|---|
Provider Name | Dr. Jessica Rachel Kanter |
First Address | Philadelphia, PA 19107-5701 |
Second Address | Philadelphia, PA 19107-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2014 |
Last Update Date | 02/11/2021 |