Kanis, Adam B
Kanis, Adam B is an individual health care provider with primary practice located at 1 Jarrett White Rd Tripler Army Medical Center, Attn Mchk-Qs, Tamc HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Kanis, Adam B can be contacted via phone (808) 433-2460.Contact Information
Primary practice address
1 Jarrett White Rd Tripler Army Medical Center, Attn Mchk-Qs
Tamc HI 96859-5001
Phone: (808) 433-2460
Fax: (808) 433-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30001 | Iowa |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 30001 | Iowa |
Profile Details
| NPI number | 1174518955 |
|---|---|
| LBN Legal business name | Kanis, Adam B |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Sep 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174518955 | NPPES |
| Iowa | MEDICAID | 0116129 | |
| Iowa | Other | 17019 |
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