Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 22876 | KY |
NPI | 1245275379 |
---|---|
Provider Name | Gary Kanter |
First Address | Florence, KY 41042-1618 |
Second Address | Florence, KY 41042-1618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 03/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C76539 | (02) | KY |