Individual
MRS. KELLY ROSE KANE
Active
Individual
MRS. KELLY ROSE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
244172
MA
207ND0900X
Dermatopathology Physician
244172
MA
207ND0900X
Dermatopathology Physician
Primary
25MA09419600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00629167
MEDICARE, RAILROAD
MN
Enumeration date
07/22/2006
Last updated
06/04/2024
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