Provider Demographics
NPI:1356617302
Name:KANU, MONICA C (DC, RN)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:C
Last Name:KANU
Suffix:
Gender:F
Credentials:DC, RN
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9304 FOREST LN
Mailing Address - Street 2:N151
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:214-462-7922
Mailing Address - Fax:214-613-7452
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:N151
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-462-7922
Practice Address - Fax:214-613-7452
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX10425111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor