Glenn S. Kanamori
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando
Orlando
, Florida 32806-2946
Glenn S. Kanamori
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando
Orlando
, Florida 32806-2946
(302) 651-4945
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Glenn S. Kanamori
- Po Box 191 Provider Enrollment Department
- Rockland, DE
- Zip : 19732-0191
- Fax : (302) 651-4945
- Phone : (302) 651-4488
Second Address
- Glenn S. Kanamori
- 1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando
- Orlando, FL
- Zip : 32806-2946
- Fax : (407) 650-7124
- Phone : (407) 650-7715
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | G65026 | CA |
| Y | 207YP0228X | Pediatric Otolaryngology | ME115604 | FL |
National Provider Identifier
| NPI | 1972697357 |
|---|---|
| Provider Name | Glenn S. Kanamori |
| First Address | Rockland, DE 19732-0191 |
| Second Address | Orlando, FL 32806-2946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 29/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G650260 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.