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Contact Information

KEVIN K KANE, MD
N25W30758 OVERLOOK CT.
PEWAUKEE, WI53072
 Phone: 414-305-3668
 Fax:
 Website: https://www.ketaminemilwaukee.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

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

NPI Number 1922082122
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 02/15/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 38241-020
  • WI Medicaid 32354600
  • Other 050058389 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
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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