Individual
KARLA B KANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PAREXEL, 200 WEST STREET, WALTHAM, MA 02451
(781) 434-4126
Mailing address
68 PINE ST, WESTON, MA 02493-1116
(781) 434-4126
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
77876
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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