Provider Demographics
NPI:1346426251
Name:KANOY, ROBERT MARK (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MARK
Last Name:KANOY
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 REGENT PARK BLVD
Mailing Address - Street 2:SUITE#104
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3758
Mailing Address - Country:US
Mailing Address - Phone:282-252-1354
Mailing Address - Fax:828-252-1457
Practice Address - Street 1:5 REGENT PARK BLVD
Practice Address - Street 2:SUITE#104
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3758
Practice Address - Country:US
Practice Address - Phone:282-252-1354
Practice Address - Fax:828-252-1457
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1009237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist