Individual
JENNIFER M. KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1333 TAYLOR ST, SUITE 4G, COLUMBIA, SC 29201-2923
(803) 799-9919
(803) 799-0788
Mailing address
1410 BLANDING ST, STE 200, COLUMBIA, SC 29201-2967
(803) 799-9919
(803) 799-0788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12895
—
SC
Enumeration date
04/25/2006
Last updated
05/25/2016
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