Individual
MR. JESSE A. KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2230
(352) 273-7584
(352) 392-3498
Mailing address
PO BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7584
(352) 392-3498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
059536
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME36705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059536
PHYSICIAN LICENSE
GA
05
—
104837400
—
FL
01
—
11D0941435
CLIA ID -2010 OCILLA RD
GA
01
—
11D1105865
CLIA ID - 17 JOHNSON ST
GA
05
—
234608607A
—
GA
05
—
234608607B
—
GA
01
—
421005
WELLCARE OF GA
—
01
—
DH1281
RAILROAD MEDICARE - GROUP #
GA
01
—
P00787893
RAILROAD MEDICARE - PTAN
GA
Enumeration date
07/13/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us