Individual provider · Type 1 NPI

Alice Kanevsky, D.M.D

Student in an Organized Health Care Education/Training Program · North Hills, CA

NPI number 1487070306 Active

Practice location

1611 Plummer Street, Bldg 10 Rm 1C-100
North Hills, CA 91343

Mailing address

1228 Valley Hill Trl
Southampton, PA 18966-4620

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487070306

Alice Kanevsky, D.M.D's National Provider Identifier is 1487070306, issued on Mar 17, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Hills, CA. The record was last updated on Mar 17, 2014.