Organization
CANAAN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A OBI MLP NURSE PRACTIONER (NURSE)
(973) 342-5593
Entity
Organization
Contact information
Practice address
661 CAULDWELL AVE, BRONX, NY 10455-1503
(973) 342-5593
Mailing address
4 SOMERSET ST APT 3B, NEWARK, NJ 07103-4150
(973) 342-5593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679062640
NURSE PRACTIONER
NY
Enumeration date
03/19/2020
Last updated
03/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us