Organization
CARLISLE CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GORDON KANN M.D. (PRESIDENT)
(717) 258-8862
Entity
Organization
Contact information
Practice address
850 WALNUT BOTTOM RD, SUITE 102, CARLISLE, PA 17013-3632
(717) 258-8862
(717) 258-9887
Mailing address
850 WALNUT BOTTOM RD, SUITE 102, CARLISLE, PA 17013-3632
(717) 258-8862
(717) 258-9887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077587710002
—
PA
01
—
03248500
CAPITAL BLUE CROSS ID
PA
01
—
1374187
HIGHMARK ID
PA
01
—
2804517
AETNA
PA
01
—
CJ9486
RAILROAD MEDICARE
PA
Enumeration date
02/02/2006
Last updated
08/22/2020
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