Individual
KEVIN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4445 S LEE ST STE 305, BUFORD, GA 30518-8808
(770) 848-6190
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
100191
GA
390200000X
Student in an Organized Health Care Education/Training Program
5151013435
MI
Other
Enumeration date
05/22/2019
Last updated
08/05/2025
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