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Individual

JILL R KANE

Active
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Individual

JILL R KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008875L
PA
208D00000X
General Practice Physician
OS008875L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016972110005
—
PA
01
—
0675842000
KEYSTONE IBC
PA
01
—
6560301
AETNA HMO
PA
01
—
975165
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/31/2005
Last updated
05/25/2011
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