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Individual
JESSICA M KANIS
Active
Individual
JESSICA M KANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01072885A
IN
208000000X
Pediatrics Physician
35.094922
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01072885A
IN
2083C0008X
Clinical Informatics Physician
01072885A
IN
Other
Enumeration date
10/17/2006
Last updated
03/12/2025
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