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Individual

DR. NELSON CARTER KANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
201 E 6TH ST, LAWSON, MO 64062-7804
(816) 580-4191
(816) 296-3058
Mailing address
201 EAST 6TH STREET, LAWSON, MO 64062
(816) 580-4191
(816) 296-3058

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013016719
MO
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
06/14/2013
Last updated
02/06/2019
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