NPI 1689085748 · live from the CMS NPI Registry
Christopher David Kanner, DO
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1689085748, active.
NPI record
| NPI | 1689085748 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-3593 |
| Enumerated | May 12, 2014 |
| Last updated | October 24, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | LP02921 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 326325 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 032.0133800 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.