Individual
JENNIFER M KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 498A, CREVE COEUR, MO 63141-8259
(314) 251-3376
Mailing address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(763) 367-7110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2022012789
MO
207N00000X
Dermatology Physician
T0252
TX
207R00000X
Internal Medicine Physician
271107
MA
Other
Enumeration date
06/19/2017
Last updated
09/06/2022
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