MEDICARE: ROBERT KANTER MD INC PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134167026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT KANTER MD INC PS

Provider Business Mailing Address
First Line	:	2611 NE 125TH ST
Second Line	:	#90
City	:	SEATTLE
State	:	WA
Zip	:	98125-4373
Country	:	US
Telephone Number	:	206-362-0035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 NE 125TH ST
Second Line	:	SUITE 90
City	:	SEATTLE
State	:	WA
Zip	:	98125-4373
Country	:	US
Telephone Number	:	206-362-0035
Fax Number	:	206-362-6927

Authorized Official
Title or Position	:	M.D./OWNER
Name	:	DR. ROBERT A KANTER
Credential	:	M.D.
Telephone Number	:	206-362-0035

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	03/25/2015

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