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MR. TIMOTHY DONALD KANALLAKAN C.P. NPI 1316267727


NPI Information

NPI: 1316267727
Provider Name: MR. TIMOTHY DONALD KANALLAKAN, C.P.
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
3520 E SHIELDS AVE
#102
FRESNO, CA
ZIP 93726
Phone: (559) 221-1933
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MR. Timothy Donald Kanallakan, C.P. is a prosthetist in Fresno, CA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Timothy Donald Kanallakan, C.P. NPI is 1316267727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3520 E SHIELDS AVE
#102
FRESNO, CA
ZIP 93726-923
Phone: (559) 221-1933
Fax: (559) 221-0260

The enumeration date for this NPI number is 6/8/2010 and was last updated on 6/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistNo
2224P00000XProsthetistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.