Basic Information
| Provider Information | |||||||||
| NPI: | 1942256177 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KANE | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 425 | ||||||||
| Address2: | |||||||||
| City: | LEDERACH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194500425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8005280006 | ||||||||
| FaxNumber: | 7323496030 | ||||||||
| Practice Location | |||||||||
| Address1: | 7600 CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191112442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157282169 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 09/06/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS007894L | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.