Kylie Ann Kanze, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

47691 Issued in CO

Practice address

Wynnewood House
300 Lancaster Ave., Suite 201B
Wynnewood, PA 19096

Phone

(267) 437-3299

Fax

(215) 848-1600

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K2 Osteopathic, LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Wynnewood, PA
  • NPI 1366291239

  Pediatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1700080942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WYNNEWOOD HOUSE",
            "address_2": "300 LANCASTER AVE., SUITE 201B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "267-437-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WYNNEWOOD HOUSE",
            "address_2": "300 LANCASTER AVE., SUITE 201B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "267-437-3299",
            "fax_number": "215-848-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZE",
        "first_name": "KYLIE",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "47691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSING BOARD",
            "identifier": "OS018845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Kamensky Batori, CRNA
• Kathryn Kaminski, MD
• Matthew Kaminski, CRNP
• Loukya Kanakamedala, DO
• David M. Kanze, D.O.
• Marissa Naomi Karpoff, M.D.
• Michelle M Karten, M.D.
• Russell J Karten, MD
• Lauren I Kasoff
• Eric M Kasprowicz, M.D.

• Pediatrics Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.