Provider Demographics
NPI:1346391356
Name:KANER, NATHAN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:SCOTT
Last Name:KANER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W WOOLBRIGHT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6398
Mailing Address - Country:US
Mailing Address - Phone:561-572-3542
Mailing Address - Fax:561-572-3547
Practice Address - Street 1:1800 W WOOLBRIGHT RD STE 101
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:561-572-3542
Practice Address - Fax:561-572-3547
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8457111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation