Provider Demographics
NPI:1639300486
Name:KANTER, PAUL M (DPM)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:KANTER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1225 E CLIFF DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4700
Mailing Address - Country:US
Mailing Address - Phone:915-598-3338
Mailing Address - Fax:915-598-3339
Practice Address - Street 1:380 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-2266
Practice Address - Country:US
Practice Address - Phone:801-447-1615
Practice Address - Fax:530-869-1444
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2025-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASC002269L213E00000X
UT14237422-0501213E00000X
IN07000570A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1043Medicare PIN