# JESSICA M KANIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558442715
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 01072885A | IN | — |
| 208000000X | Pediatrics Physician | 35.094922 | OH | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 01072885A | IN | Yes |
| 2083C0008X | Clinical Informatics Physician | 01072885A | IN | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 03/12/2025