Individual
MICHAEL WILLIAM KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1004 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 393-5534
(888) 532-2935
Mailing address
1004 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 393-5534
(888) 532-2935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01036858
IN
2084P0800X
Psychiatry Physician
Primary
01036858
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185140
—
IN
Enumeration date
01/30/2007
Last updated
06/21/2024
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