Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 9600819 | NC |
NPI | 1326014127 |
---|---|
Provider Name | Dr. Shawn F Kane |
First Address | Carrboro, NC 27510-2213 |
Second Address | Chapel Hill, NC 27599-7595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 31/03/2021 |