Individual
MR. TIMOTHY WILLIAM KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
350 N WALL ST, DEPT OF ANESTHESIA, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209006913
IL
Other
Enumeration date
12/26/2007
Last updated
07/13/2016
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