Individual
DR. KEVIN R. KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3565 MOMENTUM PL, CHICAGO, IL 60689-5335
(616) 456-8515
(616) 456-8208
Mailing address
350 LAFAYETTE AVE SE, FOURTH FLOOR, GRAND RAPIDS, MI 49503-4656
(616) 456-8515
(616) 456-8208
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301052976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3382285
—
MI
Enumeration date
06/21/2006
Last updated
08/24/2015
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