Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.38613 | AL |
Y | 2080P0202X | Pediatric Cardiologist | MD.38613 | AL |
NPI | 1114217452 |
---|---|
Provider Name | Dr. Austin Michael Kane |
First Address | Birmingham, AL 35233-1802 |
Second Address | Birmingham, AL 35233-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 20/05/2021 |