MEDICARE: DAVID GORDON KANN MD

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	207RC0000X	Cardiovascular Disease Physician	MD034384E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	060068464	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01893702	OTHER	PA	CAPITAL BLUE CROSS
3	2804534	OTHER	PA	AETNA
4	1521307	OTHER	PA	GATEWAY
5	524509	OTHER	PA	HIGHMARK BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154328961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GORDON KANN MD

Provider Business Mailing Address
First Line	:	785 5TH AVE STE 3
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-4232
Country	:	US
Telephone Number	:	717-263-9555
Fax Number	:	717-709-6529

Provider Business Practice Location Address
First Line	:	338 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9129
Country	:	US
Telephone Number	:	717-218-5103
Fax Number	:	717-303-3729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/08/2021

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Directions to “ DAVID GORDON KANN MD” Practice Location

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