Individual
DR. SARA L KANE-SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
370 120TH AVE, HOLLAND, MI 49424-2196
(616) 396-5855
(616) 396-5720
Mailing address
370 120TH AVE, HOLLAND, MI 49424-2196
(616) 396-5855
(616) 396-5720
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
SK061593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4076070
—
MI
01
—
5322559
AETNA
MI
01
—
P61128
BLUE CARE NETWORK
MI
01
—
SK061593
BCBS LICENSE
MI
Enumeration date
08/02/2005
Last updated
08/27/2009
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