Individual
DR. NATHAN L KANOUS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
10168 PARKGLENN WAY, PARKER, CO 80138-3868
(720) 842-5854
Mailing address
21813 SADDLEBROOK DR, PARKER, CO 80138-7266
(303) 840-2687
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
19505
CO
1835P1200X
Pharmacotherapy Pharmacist
5302028757
MI
Other
Enumeration date
07/25/2008
Last updated
05/25/2011
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