Individual
DR. KATHRYN KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 E MISSOURI AVE STE B100, PHOENIX, AZ 85014-2480
(602) 883-2318
(877) 992-9257
Mailing address
1430 E MISSOURI AVE STE B100, PHOENIX, AZ 85014-2480
(602) 883-2318
(877) 992-9257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45045
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624357
—
AZ
Enumeration date
07/20/2009
Last updated
11/07/2022
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