Basic Information
Provider Information
NPI: 1972777480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAISER
FirstName: DANIEL
MiddleName: WALTER
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 6 WOODLAND RD STE 304
Address2:  
City: SAINT HELENA
State: CA
PostalCode: 945749562
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 301 21ST AVE N STE 100
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372031821
CountryCode: US
TelephoneNumber: 6153295144
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/15/2008
LastUpdateDate: 01/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X45583TNN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001XA125832CAN Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0001X45583TNY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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