IndividualActive
Matthew Kanaan, DO , MS
NPI 1508008574 · Sports Medicine (Family Medicine) Physician · Raleigh, NC
Provider details
- NPI number
- 1508008574
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO , MS
- Sex
- Male
- Sole proprietor
- No
- License
- 2010-01482 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3237 Blue Ridge Rd
Raleigh, NC 27612
Phone: (919) 781-7500
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Blue Ridge Rd
Raleigh, NC 27612-8036
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2023-11-13
- Certified
- 2023-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.