Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 3823A | WY |
Y | 2084N0400X | Neurologist | DR.0059720 | CO |
NPI | 1043259641 |
---|---|
Provider Name | Roy Alan Kanter |
First Address | Loveland, CO 80538-9071 |
Second Address | Colorado Springs, CO 80920-7838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 04/07/2021 |