Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD050814L | PA |
NPI | 1063474492 |
---|---|
Provider Name | Daniel J Kane |
First Address | Upper Darby, PA 19082-1115 |
Second Address | West Chester, PA 19380-4269 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F83791 | (02) |