KANAYOCHUKWU KANNY JACQUELYNE ANYA

FORT WORTH, TX
NPI1821278151
Former NameKANAYOCHUKWU KANNY JACQUELYNE ALUKA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  N9800)
Additional Taxonomies208600000X Surgery
(Licence: WI  54922-20)
208600000X Surgery
(Licence: LA  MD204301)
Enumeration Date2007-11-03
Last Update Date2017-08-04
Business Address
-- KANAYOCHUKWU KANNY JACQUELYNE ANYA M.D.
6048 LAKE WORTH BLVD
FORT WORTH, TX 76135-3706
Phone number: 817-270-4243
Mailing Address
-- KANAYOCHUKWU KANNY JACQUELYNE ANYA M.D.
6100 HARRIS PARKWAY SUITE 380
FORT WORTH, TX 76132
Phone number: 817-759-9008