Individual
MEGAN C KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2 QUINCY DR, LEVITTOWN, PA 19057-1924
(215) 943-1200
(215) 943-6650
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 943-1200
(215) 943-6650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS005955L
PA
208D00000X
General Practice Physician
Primary
OS005955L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073548000
KEYSTONE IBC
PA
01
—
040637
HIGHMARK BLUE SHIELD
PA
05
—
1025441760001
—
PA
01
—
19910
AETNA HMO
PA
Enumeration date
05/31/2005
Last updated
05/25/2011
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