Individual
DR. HEATHER JANE KANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102203808
VA
2085R0202X
Diagnostic Radiology Physician
2015-01742
NC
2085R0202X
Diagnostic Radiology Physician
69057
GA
2085R0202X
Diagnostic Radiology Physician
Primary
DO034477
DC
2085R0202X
Diagnostic Radiology Physician
H78072
MD
390200000X
Student in an Organized Health Care Education/Training Program
OT012518
PA
Other
Enumeration date
02/19/2009
Last updated
09/13/2020
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