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Individual

MR. ROBERT JOSEPH KANABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
306 W DUE WEST AVE, MADISON, TN 37115-4511
(201) 654-6397
Mailing address
2079 MORGANS WAY, GALLATIN, TN 37066-5746
(615) 681-8974

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1359
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1511569
TN
01
4217372
BCBST
TN
Enumeration date
06/23/2006
Last updated
11/12/2025
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