Doctor Name: | DR. RODNEY A KANDER |
NPI Number: | 1689776114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 0103000592 |
Business Practice Address: | 14200 Milltown Rd Lovettsville, VA - 201803314 |
Business Phone Number: | 7037273689 |
Business Fax Number: | |
Mailing Address: | Po Box 234, WATERFORD |
State: | VA |
Postal Code: | 201970234 |
Phone Number: | 7037273689 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2006 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | 0103000592 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |