Organization
DANIEL S KANTZ PSC
Active
Other names
Daniel S Kantz LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S KANTZ DO (DO OWNER)
(812) 256-7830
Entity
Organization
Contact information
Practice address
2100 MARKET ST, #106, CHARLESTOWN, IN 47111
(812) 256-7830
(812) 256-7835
Mailing address
2100 MARKET ST, #106, CHARLESTOWN, IN 47111
(812) 256-7830
(812) 256-7835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02002542A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64068968
—
KY
Enumeration date
04/14/2006
Last updated
08/22/2020
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