| Doctor Name: | DR. ADAM B KANIS |
| NPI Number: | 1174518955 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PHD |
| License Number: | 30001 |
| Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center, Attn Mchk-qs Tamc, HI - 968595001 |
| Business Phone Number: | 8084332460 |
| Business Fax Number: | 8084331558 |
| Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center, Attn Mchk-qs TAMC |
| State: | HI |
| Postal Code: | 968595001 |
| Phone Number: | 8084332460 |
| Fax Number: | 8084331558 |
| NPI Enumeration Date: | 09/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207SG0201X |
| License Number: | 30001 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Medical Genetics |
| Taxonomy Specialization: | Clinical Genetics (M.D.) |
| Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |