Individual
JON P KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030034
PREFERRED ONE
MN
01
—
141760
UCARE
MN
01
—
1538048
AMERICA'S PPO
MN
01
—
297G2KA
BLUE CROSS
MN
01
—
300127405
RAILROAD MEDICARE MN
MN
05
—
34507700
—
WI
01
—
54G10KA
BLUE CROSS
MN
05
—
560099600
—
MN
01
—
9214824
DAKOTA CARE
MN
01
—
HP34301
HEALTHPARTNERS
MN
Enumeration date
05/31/2006
Last updated
07/13/2022
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