Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36002425 | OH |
NPI | 1033102405 |
---|---|
Provider Name | Dr. Kevin Michael Kane |
First Address | Seven Hills, OH 44131-4444 |
Second Address | Seven Hills, OH 44131-4444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 31/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000140028 | ANTHEM BCBS (01) | OH |
000000140028 | UNICARE LIFE & HEALTH (01) | OH |
0956265 | (05) | OH |
104035 | KAISER (01) | OH |
374325 | WELLCARE OF OHIO (01) | OH |
P02425 | SUMMACARE HEALTH PLAN (01) | OH |
U11574 | (02) | OH |