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Contact Information

KEVIN R KANE, MD
3565 MOMENTUM PL
CHICAGO, IL60689-5335
 Phone: 616-456-8515
 Fax: 616-456-8208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN R KANE · (Male)

NPI # 1477599207
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 08/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301052976
  • MI Medicaid 3382285
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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