EDWARD JOSEPH KANIVE

LAFAYETTE, IN
NPI1902337835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  02005998A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125069970)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-22
Last Update Date2020-07-09
Business Address
EDWARD JOSEPH KANIVE D.O
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-488-8000
Mailing Address
EDWARD JOSEPH KANIVE D.O
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 765-747-4492