Organization
KANE MEDICAL LLC
Active
Organization
KANE MEDICAL LLC
Active
Other names
Kane Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ROSE KANE MD (OWNER)
(215) 380-6061
Entity
Organization
Contact information
Practice address
223 SHORE RD, SOMERS POINT, NJ 08244-2631
(609) 705-7546
Mailing address
223 SHORE RD, SOMERS POINT, NJ 08244-2631
(609) 705-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA09419800
NJ
207ND0900X
Dermatopathology Physician
25MA09419800
NJ
Other
Enumeration date
01/22/2018
Last updated
06/04/2024
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