Individual
DR. EDWARD KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1300 INDUSTRIAL BLVD FL 1, SOUTHAMPTON, PA 18966-4029
(215) 207-1559
Mailing address
11880 BUSTLETON AVE STE 201, SUITE 201, PHILADELPHIA, PA 19116-2538
(215) 207-1559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005275L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003349839
UNITEDHEALTHCARE
PA
01
—
KA688402
MEDICARE
PA
Enumeration date
05/01/2007
Last updated
08/30/2022
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