Individual
SAMANTHA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-3202
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026303
PA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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