Individual
CHANDRA W. KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2 MATHEWS ROAD, MONSON, ME 04464-0000
(207) 997-2936
(207) 997-2936
Mailing address
PO BOX 1386, GREENVILLE, ME 04441-1386
(207) 997-2936
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2433
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434557000
MAINECARE BILLING PROVIDER NUMBER
ME
Enumeration date
11/17/2009
Last updated
11/17/2009
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