Doctor Name: | RICHARD STEPHEN KANEY |
NPI Number: | 1013902337 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | RN288812 |
Business Practice Address: | California State University, Chico Student Health Services Chico, CA - 959290001 |
Business Phone Number: | 5308984561 |
Business Fax Number: | 5308984057 |
Mailing Address: | 13 Nicole Ln, CHICO |
State: | CA |
Postal Code: | 959261623 |
Phone Number: | 5308914843 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN288812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |