Individual
DR. RICHARD E. KANNER
Active
Individual
DR. RICHARD E. KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
151143-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000068200
—
ID
01
—
111157428
RAILROAD MEDICARE
UT
05
—
94001682
—
CO
Enumeration date
10/13/2006
Last updated
12/20/2021
Update your record
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