Individual
DR. HENRY J KANAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 W 109TH ST, OVERLAND PARK, KS 66211-1318
(913) 451-8555
Mailing address
32031 W 143RD ST, GARDNER, KS 66030-9726
(913) 451-8555
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
R4P09
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11282
COVENTRY
—
01
—
19479074
BLUE CROSS
—
01
—
208020
UNITED HEALTHCARE
—
01
—
2494083
AETNA
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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