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Individual
JOHN T KANE
Active
Individual
JOHN T KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005624L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011142670002
—
PA
01
—
0022528000
KEYSTONE IBC
PA
01
—
095849
HIGHMARK BLUE SHIELD
PA
01
—
19711
AETNA HMO
PA
Enumeration date
05/31/2005
Last updated
04/20/2011
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