Individual
DR. MICHELLE ELIZABETH KANE
Active
Individual
DR. MICHELLE ELIZABETH KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1242L
BCBS NC
NC
01
—
7969584
AETNA
NC
05
—
891242L
—
NC
01
—
95152
MEDCOST
NC
Enumeration date
06/03/2006
Last updated
12/07/2021
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