MEDICARE: DR. ANNE M KANARD 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	207RX0202X	Medical Oncology Physician	DR.0042749	CO

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	:	1295731008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE M KANARD MD

Provider Business Mailing Address
First Line	:	PO BOX 270123
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80527-0123
Country	:	US
Telephone Number	:	970-218-1170
Fax Number	:	970-218-1170

Provider Business Practice Location Address
First Line	:	2121 E HARMONY RD
Second Line	:	SUITE 170
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3400
Country	:	US
Telephone Number	:	970-495-7421
Fax Number	:	970-493-3528

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	06/21/2021

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