Organization Name: | KANOME SERVICES, INC. |
NPI Number: | 1013943372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD W. JACKSON (OWNER) |
Mailing Address: | 639 W Lafayette St Winnfield |
State: | LA US |
Postal Code: | 714833451 |
Phone Number: | 3186482220 |
Fax Number: | 3186482270 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 16604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |