Individual
KIMOTHY A KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.259783
OH
363L00000X
Nurse Practitioner
APRN.CNP.0028891
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0028891
OH
Other
Enumeration date
02/22/2021
Last updated
06/20/2023
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