Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 093503 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 47161 | KY |
NPI | 1619185386 |
---|---|
Provider Name | Sarah M. Kane |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000881387 | ANTHEM-WS (01) | KY |
164901 | SIHO-WS (01) | KY |
50072902 | PASSPORT-WS (01) | KY |
7100314740 | (05) | KY |