Individual
DR. PATRICK T KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6510 GRAND TETON PLAZA, STE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Mailing address
6510 GRAND TETON PLAZA, STE 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1312-057
WI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1312-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558327932
NPI
WI
05
—
39126500
—
WI
01
—
999004242
WPS
WI
Enumeration date
04/25/2006
Last updated
08/04/2010
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