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Individual

DR. LEONARD E KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4331
(301) 663-9440
(301) 663-4602
Mailing address
85 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4331
(301) 663-9440
(301) 663-4602

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0061884
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2125821
MAMSI
MD
05
408259100
MD
01
52-2111986
UNITED HEALTHCARE
MD
01
642183-01
CAREFIRST BLUE CROSS
MD
01
J931-0002
BCBS OF D.C.
MD
Enumeration date
10/19/2005
Last updated
03/25/2015
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