Individual
AMALIA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
883 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 847-2055
Mailing address
4107 N 34TH ST, ARLINGTON, VA 22207
(202) 374-6595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0014838
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/09/2020
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