Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1176 | OH |
N | 111N00000X | Chiropractor | 2301006746 | MI |
N | 111NN1001X | Nutrition | 1176 | OH |
NPI | 1376696252 |
---|---|
Provider Name | Dr. Kenneth Warren Canter |
First Address | Dover, OH 44622-2923 |
Second Address | Dover, OH 44622-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T48411 | (02) | OH |