Doctor Name: | DR. CHARLES WILLIAM KANALY |
NPI Number: | 1568637296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 127878 |
Business Practice Address: | 277 Pleasant St Suite 302 Fall River, MA - 027213005 |
Business Phone Number: | 5086720545 |
Business Fax Number: | 5086720547 |
Mailing Address: | 107 Bakerville Rd, DARTMOUTH |
State: | MA |
Postal Code: | 027481174 |
Phone Number: | 5086720545 |
Fax Number: | 5086720547 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 09/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 127878 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |