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NPI Code Detail

MEDICARE: STANLEY KANU

MEDICARE: STANLEY KANU
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1194662890
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY KANU
Provider Business Mailing Address
First Line : 5824 PLAYERS TER APT 10
Second Line :
City : MANHATTAN
State : KS
Zip : 66503-2638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9301 N CENTRAL EXPY STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75231-0805
Country : US
Telephone Number : 214-220-2468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2026
Last Update Date : 04/30/2026

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Directions to “ STANLEY KANU ” Practice Location

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