Kanis, Jessica M

Kanis, Jessica M is an individual health care provider with primary practice located at 705 Riley Drive , Indianapolis IN 46202-5109. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Kanis, Jessica M can be contacted via phone (317) 944-3936.

Contact Information

Primary practice address
705 Riley Drive Indianapolis IN 46202-5109
Phone: (317) 944-3936
Fax: (317) 948-5844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.094922 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01072885A Indiana
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X 01072885A Indiana
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 01072885A Indiana

Profile Details

NPI number 1558442715
LBN Legal business name Kanis, Jessica M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 30th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558442715 NPPES
Indiana MEDICAID 201057370
Indiana Other 000000835642

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