Individual
KENNETH KANNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(413) 796-7494
(413) 796-7498
Mailing address
PO BOX 1330, SPRINGFIELD, MA 01101-1330
(413) 796-7494
(413) 796-7498
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121374
MA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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