Individual
ALAN JOSEPH KANOUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 CHESTNUT AVE, ALTOONA, PA 16601-4722
(814) 946-2845
(814) 946-1274
Mailing address
800 CHESTNUT AVE, ALTOONA, PA 16601-4722
(814) 946-2845
(814) 946-1274
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS013067
PA
207RP1001X
Pulmonary Disease Physician
Primary
OS013067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020766280001
—
PA
Enumeration date
03/13/2007
Last updated
12/08/2011
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