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Individual

JEROME S KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2006022538
MO
163WG0600X
Gerontology Registered Nurse
2006022538
MO
163WH1000X
Hospice Registered Nurse
Primary
2006022538
MO

Other

Enumeration date
02/21/2015
Last updated
02/21/2015
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