Doctor Name: | DR. MARY FRANCES KANAK |
NPI Number: | 1003074683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, RN |
License Number: | 059581 |
Business Practice Address: | 601 Highway 6 W Iowa City, IA - 522462209 |
Business Phone Number: | 3193380581 |
Business Fax Number: | |
Mailing Address: | 601 Highway 6 W, IOWA CITY |
State: | IA |
Postal Code: | 522462209 |
Phone Number: | 3193380581 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 059581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |