Healthcare Provider Details

I. General information

NPI: 1376696252
Provider Name (Legal Business Name): KENNETH WARREN CANTER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E 4TH ST
DOVER OH
44622-2923
US

IV. Provider business mailing address

127 E 4TH ST
DOVER OH
44622-2923
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-2236
  • Fax: 330-343-2300
Mailing address:
  • Phone: 330-343-2236
  • Fax: 330-343-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1176
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301006746
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: