Individual
DR. KEITH KANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 FRIENDSHIP LN, WEST LONG BRANCH, NJ 07764-1287
(732) 222-0109
Mailing address
4 FRIENDSHIP LN, WEST LONG BRANCH, NJ 07764-1287
(732) 222-0109
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA09671700
NJ
207RR0500X
Rheumatology Physician
ME 67850
FL
Other
Enumeration date
10/07/2008
Last updated
10/03/2018
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