Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS003382L | PA |
NPI | 1013916204 |
---|---|
Provider Name | Robert R Kaneda |
First Address | Camp Hill, PA 17011-4413 |
Second Address | Camp Hill, PA 17011-4413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000644142 | (05) | PA |
C29581 | (02) | PA |